Provider Demographics
NPI:1508817933
Name:TRAN, YEN MY (MD)
Entity Type:Individual
Prefix:DR
First Name:YEN
Middle Name:MY
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 1:6465 S YALE AVE
Mailing Address - Street 2:815
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7822
Mailing Address - Country:US
Mailing Address - Phone:918-481-2941
Mailing Address - Fax:918-481-2942
Practice Address - Street 1:6465 S YALE AVE
Practice Address - Street 2:815
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7822
Practice Address - Country:US
Practice Address - Phone:918-481-2941
Practice Address - Fax:918-481-2942
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20682207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKG72118Medicare UPIN