Provider Demographics
NPI:1952698946
Name:TRAN, KY-DIEU THI (MD)
Entity Type:Individual
Prefix:
First Name:KY-DIEU
Middle Name:THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:519 S SONYA ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-1339
Mailing Address - Country:US
Mailing Address - Phone:714-867-4457
Mailing Address - Fax:714-276-2092
Practice Address - Street 1:11100 WARNER AVE STE 252
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7511
Practice Address - Country:US
Practice Address - Phone:714-867-4457
Practice Address - Fax:714-276-2092
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP2799207RI0008X
CAA167471207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology