Healthcare Provider Details

I. General information

NPI: 1386644342
Provider Name (Legal Business Name): DUNG T. TRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3848 VETERANS MEMORIAL BLVD STE 101
METAIRIE LA
70002-5636
US

IV. Provider business mailing address

3848 VETERANS MEMORIAL BLVD STE 101
METAIRIE LA
70002-5636
US

V. Phone/Fax

Practice location:
  • Phone: 504-885-2505
  • Fax: 504-885-2510
Mailing address:
  • Phone: 504-885-2505
  • Fax: 504-887-3797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number025373
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: