Provider Demographics
NPI:1700071156
Name:TRAN, DUC QUANG JR (MD)
Entity type:Individual
Prefix:DR
First Name:DUC
Middle Name:QUANG
Last Name:TRAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE STE 1090
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2232
Mailing Address - Country:US
Mailing Address - Phone:404-686-3494
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE ST NE STE 1090
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2232
Practice Address - Country:US
Practice Address - Phone:404-686-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104476207R00000X
FLTRN9842390200000X
GA65192207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program