Provider Demographics
NPI:1578767992
Name:TRAN, VYTHAO THI (MD)
Entity Type:Individual
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First Name:VYTHAO
Middle Name:THI
Last Name:TRAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:725 WELCH RD RM 16814
Mailing Address - Street 2:LUCILE PACKARD CHILDRENS HOSPITAL DEPT. OF RADIOLOGY
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1601
Mailing Address - Country:US
Mailing Address - Phone:818-458-1142
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD RM 16814
Practice Address - Street 2:LUCILE PACKARD CHILDRENS HOSPITAL DEPT. OF RADIOLOGY
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:818-458-1142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2013-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1063612085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology