Provider Demographics
NPI:1295992576
Name:TRAN, MINHNGA (DO)
Entity type:Individual
Prefix:
First Name:MINHNGA
Middle Name:
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 1:481 SANDIA LOOP
Mailing Address - Street 2:
Mailing Address - City:BERNALILLO
Mailing Address - State:NM
Mailing Address - Zip Code:87004-7076
Mailing Address - Country:US
Mailing Address - Phone:505-867-4696
Mailing Address - Fax:505-771-5107
Practice Address - Street 1:801 ENCINO PL NE
Practice Address - Street 2:STE C-1
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2612
Practice Address - Country:US
Practice Address - Phone:505-272-1475
Practice Address - Fax:505-272-2360
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-1604-11207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine