Healthcare Provider Details

I. General information

NPI: 1952549438
Provider Name (Legal Business Name): QUINCY K TRAN MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 S PACA ST SUITE 300A
BALTIMORE MD
21201-1791
US

IV. Provider business mailing address

4608 TERRY DR
ELLICOTT CITY MD
21043-6777
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-4924
  • Fax: 410-328-2876
Mailing address:
  • Phone: 410-465-1398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101249914
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD040067
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0072320
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD0072320
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD0072320
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: