Mi Le Tran, M.D.

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

22239 Issued in AZ

Practice address

11110 N Tatum Blvd
Suite 103
Phoenix, AZ 85028-1607

Phone

(602) 443-0400

Fax

(602) 443-0401

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mi Le Tran MD PC

  • Psychosomatic Medicine Physician
  • Phoenix, AZ
  • NPI 1598986630
  Authorized official Same address or phone
• Vijay K. Jain, Psy.D. Inc

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1295907426
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629135389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 N TATUM BLVD",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281607",
            "telephone_number": "602-443-0400",
            "fax_number": "602-443-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 N TATUM BLVD",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281607",
            "telephone_number": "602-443-0400",
            "fax_number": "602-443-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MI",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "AZ",
            "license": "22239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "22239 MD",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lan Thuy Hoang Tran, M.S., OTR/L
• Margaret N Tran, DMD
• Maria Tran, DO
• Mary Tran
• Matt Tran, DPM
• Minh Tran
• Paul Tran
• Paula Tran, DO
• Phu Ngoc Tran, DDS
• Sheila Thuy Tran, DOCTOR OF PHARMACY

• Psychosomatic Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychosomatic Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.