Organization
JANIE KWAK TRAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANIE KWAK-TRAN M.D. (OWNER/PHYSICIAN)
(702) 220-9611
Entity
Organization
Contact information
Practice address
5052 S JONES BLVD STE 105, LAS VEGAS, NV 89118-0552
(702) 220-9611
(702) 220-9613
Mailing address
10624 S EASTERN AVE # A285, HENDERSON, NV 89052-2982
(702) 220-9611
(702) 220-9613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10236
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018869
—
NV
Enumeration date
03/03/2008
Last updated
08/08/2013
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