MEDICARE: BILL CHI 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207RC0000X	Cardiovascular Disease Physician	56441	MN

General Provider Information

NPI Number	:	1598908873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILL CHI TRAN MD

Provider Business Mailing Address
First Line	:	270 INTERNATIONAL CIR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1100
Country	:	US
Telephone Number	:	408-972-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 INTERNATIONAL CIR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1100
Country	:	US
Telephone Number	:	408-972-3000
Fax Number	:

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

Provider Enumeration Date	:	04/15/2009
Last Update Date	:	09/15/2022

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