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NPI Code Detail

MEDICARE: LUAN TRAN MD

MEDICARE: LUAN TRAN MD
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
1207L00000XAnesthesiology Physician8553NV

Other Identifiers

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

General Provider Information

NPI Number : 1508842337
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUAN TRAN MD
Provider Business Mailing Address
First Line : PO BOX 15645
Second Line :
City : LAS VEGAS
State : NV
Zip : 89114-5645
Country : US
Telephone Number : 702-560-2916
Fax Number : 702-560-2928
Provider Business Practice Location Address
First Line : 2450 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2179
Country : US
Telephone Number : 702-877-8661
Fax Number : 702-258-1322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 05/10/2012

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Directions to “ LUAN TRAN MD” Practice Location

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