| Janie Kwak Tran Md Inc | |
|
5052 S Jones Blvd Ste 105 Las Vegas NV 89118-0552 | |
| (702) 220-9611 | |
| (702) 220-9613 |
| Full Name | Janie Kwak Tran Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5052 S Jones Blvd Ste 105, Las Vegas, Nevada |
| Authorized Official Name and Position | Janie Kwak-tran (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7022209611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janie Kwak Tran Md Inc 10624 S Eastern Ave # A285 Henderson NV 89052-2982 Ph: (702) 220-9611 | Janie Kwak Tran Md Inc 5052 S Jones Blvd Ste 105 Las Vegas NV 89118-0552 Ph: (702) 220-9611 |
| NPI Number | 1912177247 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 08/08/2013 |
| Medicare PECOS PAC ID | 8123924289 |
|---|---|
| Medicare Enrollment ID | O20031209001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912177247 | NPI | - | NPPES |
| 002018869 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10236 (Nevada) | Primary |
| Provider Name | Janie Kwak Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497847438 PECOS PAC ID: 1759287816 Enrollment ID: I20031210000187 |
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