Provider Demographics
NPI:1124011945
Name:TRAN, KHOA D (MD)
Entity Type:Individual
Prefix:
First Name:KHOA
Middle Name:D
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:10311 N ELDRIDGE PKWY
Mailing Address - Street 2:#B-4
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5368
Mailing Address - Country:US
Mailing Address - Phone:281-897-1112
Mailing Address - Fax:281-897-9993
Practice Address - Street 1:10311 N ELDRIDGE PKWY
Practice Address - Street 2:#B-4
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5368
Practice Address - Country:US
Practice Address - Phone:281-897-1112
Practice Address - Fax:281-897-9993
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2013-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL8981207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F4214Medicare PIN
TXI10606Medicare UPIN