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NPI Code Detail

MEDICARE: DEAN TRAN MD

MEDICARE: DEAN 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
1208D00000XGeneral Practice Physician2025-02627NC
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1518727940
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEAN TRAN MD
Provider Business Mailing Address
First Line : 145 SUNSET CT STE 100
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-2429
Country : US
Telephone Number : 803-739-3550
Fax Number :
Provider Business Practice Location Address
First Line : 4100 CARMEL RD STE F-2
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-6150
Country : US
Telephone Number : 704-574-8543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2024
Last Update Date : 12/08/2025

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