MEDICARE: THINH 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	207R00000X	Internal Medicine Physician	K1705	TX

General Provider Information

NPI Number	:	1679950760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THINH TRAN M.D.

Provider Business Mailing Address
First Line	:	6855 S RED RD STE 600
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6855 S RED RD STE 600
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3518
Country	:	US
Telephone Number	:	786-662-7469
Fax Number	:

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

Provider Enumeration Date	:	04/28/2015
Last Update Date	:	04/28/2015

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