Individual
MICHELLE T. TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1480 N MAIN ST, MADISON, VA 22727-3093
(540) 948-6743
(540) 948-4527
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203237
VA
207Q00000X
Family Medicine Physician
0116023291
VA
207Q00000X
Family Medicine Physician
LL1428
SC
207Q00000X
Family Medicine Physician
TL1428
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7124
MEDICARE
SC
05
—
FQC048
—
SC
Enumeration date
09/08/2010
Last updated
08/30/2016
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