Provider Demographics
NPI:1255574984
Name:MEEKS, VAN TRAN (MD)
Entity type:Individual
Prefix:DR
First Name:VAN
Middle Name:TRAN
Last Name:MEEKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VAN
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2850 LONE OAK RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-8043
Mailing Address - Country:US
Mailing Address - Phone:270-554-3904
Mailing Address - Fax:
Practice Address - Street 1:2850 LONE OAK RD
Practice Address - Street 2:SUITE 4
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-8043
Practice Address - Country:US
Practice Address - Phone:270-554-3904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2014-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY46381207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics