Provider Demographics
NPI:1679664726
Name:TRAN, HAO P (MD)
Entity Type:Individual
Prefix:DR
First Name:HAO
Middle Name:P
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 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-7825
Mailing Address - Fax:
Practice Address - Street 1:1765 LININGER LN
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-2316
Practice Address - Country:US
Practice Address - Phone:319-467-7888
Practice Address - Fax:319-467-7889
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35. 079878208000000X
IAMD-44884208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ826274Medicaid
AZ8HBV39Medicare ID - Type UnspecifiedMEDICARE PART B - CHINLE
AZ8HBV41Medicare ID - Type UnspecifiedMEDICARE PART B - TSAILE
AZH98488Medicare UPIN
AZ8HBV40Medicare ID - Type UnspecifiedMEDICARE PART B - PINON