MEDICARE: CYNTHIA NGUYEN TRAN M.D.

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	207RG0100X	Gastroenterology Physician	S3762	TX
2	207RG0100X	Gastroenterology Physician	91244	GA

General Provider Information

NPI Number	:	1184088718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA NGUYEN TRAN M.D.

Provider Business Mailing Address
First Line	:	615 MICHAEL ST NE STE 201
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1047
Country	:	US
Telephone Number	:	404-727-5596
Fax Number	:	404-727-5767

Provider Business Practice Location Address
First Line	:	1364 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-3411
Country	:	US
Telephone Number	:	404-712-2000
Fax Number	:

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

Provider Enumeration Date	:	04/10/2016
Last Update Date	:	05/18/2023

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