Provider Demographics
NPI:1346287380
Name:TRAN, HOANG SIMON (MD)
Entity Type:Individual
Prefix:DR
First Name:HOANG
Middle Name:SIMON
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1230
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1230
Mailing Address - Country:US
Mailing Address - Phone:812-842-0907
Mailing Address - Fax:812-492-5560
Practice Address - Street 1:4015 GATEWAY BLVD
Practice Address - Street 2:SUITE 2120
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8925
Practice Address - Country:US
Practice Address - Phone:812-842-0907
Practice Address - Fax:812-464-0536
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2018-09-19
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Provider Licenses
StateLicense IDTaxonomies
IN01063016A208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200857730AMedicaid
IN532500JJJMedicare PIN
IN200857730AMedicaid