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Contact Information

MI LE TRAN MD PC
11110 N TATUM BLVD
SUITE 103
PHOENIX, AZ85028-1607
 Phone: 601-443-0400
 Fax: 602-443-0401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MI LE TRAN MD PC · (Female)

NPI Number 1598986630
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 22239
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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