MEDICARE: DR. KIM ANH TRAN M.D.

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	207L00000X	Anesthesiology Physician	35.148324	OH
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	35.148324	OH

General Provider Information

NPI Number	:	1669835898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIM ANH TRAN M.D.

Provider Business Mailing Address
First Line	:	1125 HOSPITAL DR STE 1640
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-8001
Country	:	US
Telephone Number	:	419-383-6699
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 HOSPITAL DR STE 1640
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-8001
Country	:	US
Telephone Number	:	419-383-6699
Fax Number	:

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

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	02/09/2024

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