Provider Demographics
NPI:1013969807
Name:TRAN, DUC DUY (MD)
Entity Type:Individual
Prefix:
First Name:DUC
Middle Name:DUY
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 E CAMPUS VIEW BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4647
Mailing Address - Country:US
Mailing Address - Phone:614-396-4733
Mailing Address - Fax:614-396-4742
Practice Address - Street 1:3525 OLENTANGY RIVER RD
Practice Address - Street 2:SUITE 5360
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3937
Practice Address - Country:US
Practice Address - Phone:614-340-7747
Practice Address - Fax:614-340-7742
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-05-22
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Provider Licenses
StateLicense IDTaxonomies
OH35-06-8276-T2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000026603OtherANTHEM
OHP00394388OtherRR MEDICARE
OH0153275Medicaid
027978400OtherFEDERAL BLACK LUNG
127593300OtherUS DEPARTMENT OF LABOR
OH341212779020OtherMEDICAL MUTUAL
OH0153275Medicaid
OHP00394388OtherRR MEDICARE