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DR PETER TRAN DO LC NPI 1699809293


NPI Information

NPI: 1699809293
Provider Name: DR PETER TRAN DO LC

Doing Business As: DR. PETER TRAN D.O., FAMILY MEDICINE & GERIATRICS

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 29D1052242

Address:
1776 W HORIZON RIDGE PKWY
SUITE 120
HENDERSON, NV
ZIP 89012
Phone: (702) 363-3288
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DR PETER TRAN DO LC is a geriatric medicine family medicine in Henderson, NV. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR PETER TRAN DO LC NPI is 1699809293. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Peter Tran D.o., Family Medicine & Geriatrics.

The provider's business location address is:

1776 W HORIZON RIDGE PKWY
SUITE 120
HENDERSON, NV
ZIP 89012-018
Phone: (702) 363-3288
Fax: (702) 363-3288

The provider's authorized official is Peter Anh Tran .
The authorized official title is Owner-physician and has the following contact phone number (702) 363-3288.

The CLIA number assigned to this NPI record is 29D1052242 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 5/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine1188NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I17219MEDICARE UPINNEVADA
2101550MEDICARE ID-TYPE UNSPECIFIEDNEVADA
3100506432MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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