Tran, Ethan

Tran, Ethan is an individual health care provider with primary practice located at 26338 73Rd Ave Fl 2 , Glen Oaks NY 11004-1004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tran, Ethan can be contacted via phone (408) 600-4490.

Contact Information

Primary practice address
26338 73Rd Ave Fl 2 Glen Oaks NY 11004-1004
Phone: (408) 600-4490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 261208-1 New York

Profile Details

NPI number 1518258268
LBN Legal business name Tran, Ethan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2011
Last updated Jun 28th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518258268 NPPES
Texas Other 8DG075 BCBS
Texas Other 1518258268 BCBS
Texas MEDICAID 302201402 BCBS
Texas MEDICAID 302201401 BCBS

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