Provider Demographics
NPI:1720867310
Name:TRAN, LINDA HIEN HOA NGUYEN
Entity Type:Individual
Prefix:
First Name:LINDA HIEN HOA
Middle Name:NGUYEN
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W FAYETTE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1756
Mailing Address - Country:US
Mailing Address - Phone:561-260-0194
Mailing Address - Fax:
Practice Address - Street 1:520 W FAYETTE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1781
Practice Address - Country:US
Practice Address - Phone:561-260-0194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant