Doctor Name: | DR. AN L TRAN |
NPI Number: | 1366637563 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MT189067 |
Business Practice Address: | 605 Glenwood Drive Suite 200 Chattanooga, TN - 374041130 |
Business Phone Number: | 4236981844 |
Business Fax Number: | 4236242226 |
Mailing Address: | 605 Glenwood Drive, Suite 200 CHATTANOOGA |
State: | TN |
Postal Code: | 374041130 |
Phone Number: | 4236981844 |
Fax Number: | 4236242226 |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT189067 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |