Provider Demographics
NPI:1952549438
Name:TRAN, QUINCY K (MD PHD)
Entity Type:Individual
Prefix:
First Name:QUINCY
Middle Name:K
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:4608 TERRY DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6777
Mailing Address - Country:US
Mailing Address - Phone:410-465-1398
Mailing Address - Fax:
Practice Address - Street 1:11 S PACA ST
Practice Address - Street 2:SUITE 300A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1791
Practice Address - Country:US
Practice Address - Phone:410-328-4924
Practice Address - Fax:410-328-2876
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0072320207P00000X
DCMD040067207P00000X
VA0101249914207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine