Provider Demographics
NPI:1437327723
Name:TRAN, CHAU QUYNH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAU
Middle Name:QUYNH
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CATLYN
Other - Middle Name:QUINN
Other - Last Name:CHAUS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:824 WARRINGTON PL
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45419-3646
Mailing Address - Country:US
Mailing Address - Phone:571-235-8455
Mailing Address - Fax:
Practice Address - Street 1:601 VALLEY STREET
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1815
Practice Address - Country:US
Practice Address - Phone:937-641-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57-013959208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics