Provider Demographics
NPI:1578725131
Name:DANG, CHAN-TRAN P (DO)
Entity Type:Individual
Prefix:
First Name:CHAN-TRAN
Middle Name:P
Last Name:DANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 LA CANADA ST
Mailing Address - Street 2:#244
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-2578
Mailing Address - Country:US
Mailing Address - Phone:702-697-0016
Mailing Address - Fax:702-691-9984
Practice Address - Street 1:3131 LA CANADA ST
Practice Address - Street 2:#244
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-2578
Practice Address - Country:US
Practice Address - Phone:702-697-0016
Practice Address - Fax:702-691-9984
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO1626208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics