MEDICARE: HANH T 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
1	207V00000X	Obstetrics & Gynecology Physician	D0057363	MD

General Provider Information

NPI Number	:	1316906290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANH T TRAN M.D.

Provider Business Mailing Address
First Line	:	1576 MERRITT BLVD
Second Line	:	STE 3
City	:	BALTIMORE
State	:	MD
Zip	:	21222-2132
Country	:	US
Telephone Number	:	410-650-2191
Fax Number	:

Provider Business Practice Location Address
First Line	:	1576 MERRITT BLVD
Second Line	:	STE 3
City	:	BALTIMORE
State	:	MD
Zip	:	21222-2132
Country	:	US
Telephone Number	:	410-650-2191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	07/08/2007

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