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NPI Code Detail

MEDICARE: ANDREW TRAN M.D.

MEDICARE: ANDREW TRAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician0101275551VA
2207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianD0093628MD

General Provider Information

NPI Number : 1225491368
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW TRAN M.D.
Provider Business Mailing Address
First Line : 3570 SAINT JOHNS LN
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-4020
Country : US
Telephone Number : 410-461-9500
Fax Number :
Provider Business Practice Location Address
First Line : 3570 SAINT JOHNS LN
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-4020
Country : US
Telephone Number : 410-461-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2016
Last Update Date : 05/21/2026

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