Provider Demographics
NPI:1932217353
Name:TRAN, HAI HUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:HAI
Middle Name:HUNG
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 1:3121 N 128TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-4222
Mailing Address - Country:US
Mailing Address - Phone:402-496-7985
Mailing Address - Fax:
Practice Address - Street 1:909 COURT ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-4069
Practice Address - Country:US
Practice Address - Phone:402-223-4141
Practice Address - Fax:402-223-4191
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17516207Q00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47-071568800Medicaid
NE17516OtherST. PHYSICIAN LICENSE NO.
NE17516OtherST. PHYSICIAN LICENSE NO.
NE47-071568800Medicaid
NE096869Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER