Provider Demographics
NPI:1881688950
Name:TRAN, DON DINH (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:DINH
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 SENTER RD STE 238
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-1186
Mailing Address - Country:US
Mailing Address - Phone:408-281-3889
Mailing Address - Fax:408-279-2395
Practice Address - Street 1:2611 SENTER RD STE 238
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95111-1186
Practice Address - Country:US
Practice Address - Phone:408-281-3889
Practice Address - Fax:408-279-2395
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41328207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A413281Medicaid
CA00A413281Medicaid
A29353Medicare UPIN