| Tan Tran MD Inc | |
|
292 Cottage Ave Manteca CA 95336-4942 | |
| (209) 239-4229 | |
| (209) 239-4209 |
| Full Name | Tan Tran MD Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 292 Cottage Ave, Manteca, California |
| Authorized Official Name and Position | Tan Tran (GI) |
| Authorized Official Contact | 7148556908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tan Tran MD Inc Po Box 2155 Manteca CA 95336-1159 Ph: (714) 855-6908 | Tan Tran MD Inc 292 Cottage Ave Manteca CA 95336-4942 Ph: (209) 239-4229 |
| NPI Number | 1023516176 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023516176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A69009 (California) | Primary |
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