Provider Demographics
NPI:1558578476
Name:TRAN, NGUYEN PHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:NGUYEN
Middle Name:PHAM
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 1:10787 NALL AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1375
Mailing Address - Country:US
Mailing Address - Phone:913-491-3300
Mailing Address - Fax:913-491-0904
Practice Address - Street 1:10787 NALL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1375
Practice Address - Country:US
Practice Address - Phone:913-491-3300
Practice Address - Fax:913-491-0904
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-34767207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology