MEDICARE: TRISH TRAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101272286	VA

General Provider Information

NPI Number	:	1013412147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISH TRAN

Provider Business Mailing Address
First Line	:	100 EMANCIPATION DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23667-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 EMANCIPATION DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23667-0001
Country	:	US
Telephone Number	:	757-722-9961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	12/10/2025

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Directions to “ TRISH TRAN ” Practice Location

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