Provider Demographics
NPI:1952613606
Name:TRAN, THUY THI XUAN (DO)
Entity Type:Individual
Prefix:DR
First Name:THUY
Middle Name:THI XUAN
Last Name:TRAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HYDE STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCSICO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:619-203-9515
Mailing Address - Fax:
Practice Address - Street 1:900 HYDE STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCSICO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:619-203-9515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-10
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A12822207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine