Provider Demographics
NPI:1154734846
Name:TRAN, BAO ANH PATRICK DINH (MD)
Entity type:Individual
Prefix:
First Name:BAO ANH PATRICK
Middle Name:DINH
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2324 SANTA RITA RD STE 2
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4150
Mailing Address - Country:US
Mailing Address - Phone:925-846-5100
Mailing Address - Fax:
Practice Address - Street 1:2324 SANTA RITA RD STE 2
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4150
Practice Address - Country:US
Practice Address - Phone:925-846-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA155355207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology