Healthcare Provider Details

I. General information

NPI: 1437327723
Provider Name (Legal Business Name): CHAU QUYNH TRAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATLYN QUINN CHAUS M.D.

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 VALLEY STREET
DAYTON OH
45404-1815
US

IV. Provider business mailing address

824 WARRINGTON PL
DAYTON OH
45419-3646
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-3000
  • Fax:
Mailing address:
  • Phone: 571-235-8455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number57-013959
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: