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NPI Code Detail

MEDICARE: DR. PAUL TRAN

MEDICARE: DR. PAUL 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
1183500000XPharmacistRPH024354GA

General Provider Information

NPI Number : 1427691229
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL TRAN
Provider Business Mailing Address
First Line : 1030 DELTA BLVD
Second Line :
City : ATLANTA
State : GA
Zip : 30354-1989
Country : US
Telephone Number : 404-305-8890
Fax Number :
Provider Business Practice Location Address
First Line : 1030 DELTA BLVD
Second Line :
City : ATLANTA
State : GA
Zip : 30354-1989
Country : US
Telephone Number : 404-305-8890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2019
Last Update Date : 10/24/2019

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Directions to “ DR. PAUL TRAN ” Practice Location

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