Healthcare Provider Details

I. General information

NPI: 1083063135
Provider Name (Legal Business Name): NHAT-TUAN QUANG TRAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E 19TH AVE
DENVER CO
80218-1114
US

IV. Provider business mailing address

8366 S PIERCE WAY
LITTLETON CO
80128-6397
US

V. Phone/Fax

Practice location:
  • Phone: 303-812-6400
  • Fax:
Mailing address:
  • Phone: 720-244-8711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberDR.0066025
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberDR.0066025
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTL0006280
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberDR.0066025
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: