Healthcare Provider Details

I. General information

NPI: 1679868251
Provider Name (Legal Business Name): HANH HENRY HUY JOSEPH TRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HENY HUY TRAN MD

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 01/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 SL YOUNG BLVD
OKLAHOMA CITY OK
73104-5020
US

IV. Provider business mailing address

12424 PITTSBURGH AVE
OKLAHOMA CITY OK
73120-6000
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-2451
  • Fax:
Mailing address:
  • Phone: 316-200-8416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number28677
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number28677
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: