Provider Demographics
NPI:1053324459
Name:NGUYEN, TRANG D (MD)
Entity Type:Individual
Prefix:
First Name:TRANG
Middle Name:D
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 RANCH DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5107
Mailing Address - Country:US
Mailing Address - Phone:408-263-9936
Mailing Address - Fax:408-263-9926
Practice Address - Street 1:246 RANCH DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5107
Practice Address - Country:US
Practice Address - Phone:408-263-9936
Practice Address - Fax:408-263-9926
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG077716207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG08079Medicare UPIN