Healthcare Provider Details

I. General information

NPI: 1881675577
Provider Name (Legal Business Name): PAUL E TRANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLUE RIDGE COMMUNITY HEALTH SERVICES, INC 2579 CHIMNEY ROCK ROAD
HENDERSONVILLE NC
28792
US

IV. Provider business mailing address

173 CLEAR CREEKSIDE DR
HENDERSONVILLE NC
28792-7892
US

V. Phone/Fax

Practice location:
  • Phone: 828-692-4289
  • Fax: 828-692-4396
Mailing address:
  • Phone: 828-692-4289
  • Fax: 828-692-4396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number200400765
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: