Tran, Khanh Cong
Tran, Khanh Cong is an individual health care provider with primary practice located at 2611 Senter Rd Ste 238 , San Jose CA 95111-1186. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tran, Khanh Cong can be contacted via phone (408) 281-3889.Contact Information
Primary practice address
2611 Senter Rd Ste 238
San Jose CA 95111-1186
Phone: (408) 281-3889
Fax: (408) 281-3892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A68365 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A68365 | California |
Profile Details
| NPI number | 1124093133 |
|---|---|
| LBN Legal business name | Tran, Khanh Cong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Dec 11th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124093133 | NPPES |
| California | MEDICAID | GR0088650 |
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