Doctor Name: | DR. CUONG TRINH |
NPI Number: | 1457346629 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 13591 |
Business Practice Address: | 2500 Peres Ave Memphis, TN - 381081660 |
Business Phone Number: | 9015155500 |
Business Fax Number: | 9014585591 |
Mailing Address: | 877 Jefferson Ave, 5th Floor Adams Pavilion MEMPHIS |
State: | TN |
Postal Code: | 381032807 |
Phone Number: | 9015155500 |
Fax Number: | 9014585591 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |