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NPI Code Detail

MEDICARE: DR. MARTIN QUAN TRAN D.O.

MEDICARE:  DR. MARTIN QUAN TRAN  D.O.
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
1207RN0300XNephrology PhysicianDO1528TN

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 : 1851395891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN QUAN TRAN D.O.
Provider Business Mailing Address
First Line : 107 WOODLAWN DR
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-5978
Country : US
Telephone Number : 423-929-7158
Fax Number : 423-928-9625
Provider Business Practice Location Address
First Line : 107 WOODLAWN DR
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-5978
Country : US
Telephone Number : 423-929-7158
Fax Number : 423-928-9625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 01/19/2010

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Directions to “ DR. MARTIN QUAN TRAN D.O.” Practice Location

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