Provider Demographics
NPI:1689616690
Name:TRAN, XUANANH P (MD)
Entity Type:Individual
Prefix:DR
First Name:XUANANH
Middle Name:P
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2495 HOSPITAL DR
Mailing Address - Street 2:STE 505
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4157
Mailing Address - Country:US
Mailing Address - Phone:650-960-1106
Mailing Address - Fax:
Practice Address - Street 1:2495 HOSPITAL DR
Practice Address - Street 2:STE 505
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4157
Practice Address - Country:US
Practice Address - Phone:650-960-1106
Practice Address - Fax:650-960-1103
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA664233207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A664230Medicaid
CA00A664230Medicaid