Provider Demographics
NPI:1508277872
Name:DZUNG TRAN MD LTD
Entity Type:Organization
Organization Name:DZUNG TRAN MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DZUNG
Authorized Official - Middle Name:V
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-876-0186
Mailing Address - Street 1:PO BOX 400565
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89140-0565
Mailing Address - Country:US
Mailing Address - Phone:702-876-0186
Mailing Address - Fax:702-876-0608
Practice Address - Street 1:6960 S CIMARRON RD
Practice Address - Street 2:STE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2182
Practice Address - Country:US
Practice Address - Phone:702-876-0186
Practice Address - Fax:702-876-0608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty