Provider Demographics
NPI:1467754432
Name:TRAN, QUYEN-ANH DAI (MD)
Entity Type:Individual
Prefix:DR
First Name:QUYEN-ANH
Middle Name:DAI
Last Name:TRAN
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 1:82 PUUHONU PL STE 211
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2010
Mailing Address - Country:US
Mailing Address - Phone:808-933-2100
Mailing Address - Fax:808-933-2112
Practice Address - Street 1:82 PUUHONU PL STE 211
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2010
Practice Address - Country:US
Practice Address - Phone:808-933-2100
Practice Address - Fax:808-933-2112
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT190367207V00000X
HIMD-16277207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology