Active NPI
Khanh Van Tran, MDD
- Neurology Physician
- Lawton, OK
National Provider Identifier
1295750784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- AT12854
- Practice address
- 910 SW 38TH St
Ste B
Lawton, OK 73505-7013 - Phone
- (580) 355-7443
- Fax
- (580) 355-7609
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | AT12854 | OK | Primary |
Addresses
Primary practice location
910 SW 38TH St
Ste B
Lawton, OK 73505-7013
Mailing address
910 SW 38TH St
Ste B
Lawton, OK 73505-7013
Phone (580) 355-7443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT12854 | OK | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208649600000",
"number": "1295750784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 SW 38TH ST",
"address_2": "STE B",
"city": "LAWTON",
"state": "OK",
"postal_code": "735057013",
"telephone_number": "580-355-7443",
"fax_number": "580-355-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 SW 38TH ST",
"address_2": "STE B",
"city": "LAWTON",
"state": "OK",
"postal_code": "735057013",
"telephone_number": "580-355-7443",
"fax_number": "580-355-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KHANH",
"middle_name": "VAN",
"credential": "MDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2008-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "AT12854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.