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Individual

DR. KHA H TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4455
(419) 998-4586
Mailing address
951 COMMERCE PKWY, SUITE 101, LIMA, OH 45804-4040
(419) 998-4575
(419) 998-4586

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35084778
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000345653
ANTHEM
OH
01
04607
PARAMOUNT
OH
05
2503311
OH
01
735056
BUCKEYE
OH
01
P00295806
RAILROAD MEDICARE
OH
Enumeration date
05/19/2006
Last updated
08/23/2013
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