MEDICARE: TUNG THANH 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	2084N0400X	Neurology Physician	2012-00704	NC
2	2084E0001X	Epilepsy Physician	2012-00704	NC

General Provider Information

NPI Number	:	1992919567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUNG THANH TRAN M.D.

Provider Business Mailing Address
First Line	:	2424 ERWIN RD STE 1001
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-3858
Country	:	US
Telephone Number	:	919-613-0418
Fax Number	:	919-684-8955

Provider Business Practice Location Address
First Line	:	40 DUKE MEDICINE CIR # 1L
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-3038
Country	:	US
Telephone Number	:	919-681-1700
Fax Number	:	919-668-1294

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	02/12/2025

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