MEDICARE: MICHELLE TRAN PA-C

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	363A00000X	Physician Assistant	0110009125	VA
2	363A00000X	Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184393217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE TRAN PA-C

Provider Business Mailing Address
First Line	:	7474 GREENWAY CENTER DR STE 1000
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10750 COLUMBIA PIKE STE 605
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4402
Country	:	US
Telephone Number	:	301-891-6040
Fax Number	:

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

Provider Enumeration Date	:	09/11/2021
Last Update Date	:	01/19/2026

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Directions to “ MICHELLE TRAN PA-C” Practice Location

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