Healthcare Provider Details

I. General information

NPI: 1124702790
Provider Name (Legal Business Name): NHAN L TRAN DPM MBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W 2ND ST
HASTINGS NE
68901-7532
US

IV. Provider business mailing address

1000 HOUGHTON AVE
SAGINAW MI
48602-5303
US

V. Phone/Fax

Practice location:
  • Phone: 402-751-0600
  • Fax: 402-751-0800
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number5951001493
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: