Healthcare Provider Details

I. General information

NPI: 1356085914
Provider Name (Legal Business Name): AMANDA TRAN MD, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NYU LANGONE MEDICAL CENTER 550 FIRST AVE.
NEW YORK NY
10016
US

IV. Provider business mailing address

52 STEEPLECHASE
IRVINE CA
92602-1907
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-5506
  • Fax:
Mailing address:
  • Phone: 949-466-4039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number324822
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: