Provider Demographics
NPI:1720072895
Name:TRAN, NAM HUA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAM
Middle Name:HUA
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 1:25 N 14TH ST
Mailing Address - Street 2:SUITE 780
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-6204
Mailing Address - Country:US
Mailing Address - Phone:408-279-2377
Mailing Address - Fax:408-279-2395
Practice Address - Street 1:25 N 14TH ST
Practice Address - Street 2:SUITE 780
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-6204
Practice Address - Country:US
Practice Address - Phone:408-279-2377
Practice Address - Fax:408-279-2395
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA413292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A413290Medicaid
CA00A413290Medicare PIN
CAA29354Medicare UPIN