Provider Demographics
NPI:1568511939
Name:TRAN, NHU LE (MD)
Entity Type:Individual
Prefix:DR
First Name:NHU
Middle Name:LE
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10026 OLD OCEAN CITY BLVD
Mailing Address - Street 2:BUILDING ONE
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1288
Mailing Address - Country:US
Mailing Address - Phone:410-629-6541
Mailing Address - Fax:410-629-9505
Practice Address - Street 1:38394 DUPONT BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:SELBYVILLE
Practice Address - State:DE
Practice Address - Zip Code:19975
Practice Address - Country:US
Practice Address - Phone:302-389-3900
Practice Address - Fax:302-436-6328
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2011-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY186034171100000X
NYA186034207R00000X
MDD0066708207R00000X
DEC1-0009318207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY186034OtherMEDICAL LICENSE
NY01345188Medicaid
MDD0066708OtherMARYLAND MEDICAL STATE BOARD
NY01345188Medicaid
NY186034OtherMEDICAL LICENSE