Provider Demographics
NPI:1639247125
Name:TRAN, CAN N (MD)
Entity Type:Individual
Prefix:
First Name:CAN
Middle Name:N
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3625 RED OAK CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-8425
Mailing Address - Country:US
Mailing Address - Phone:504-391-1180
Mailing Address - Fax:504-347-6210
Practice Address - Street 1:3909 LAPALCO BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2302
Practice Address - Country:US
Practice Address - Phone:504-349-6216
Practice Address - Fax:504-347-6210
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2010-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.13319R207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1555550Medicaid
H49726Medicare UPIN
LA1555550Medicaid