Provider Demographics
NPI:1003311614
Name:TRAN, ALEXANDRIA (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5171 S COTTONWOOD ST STE 650
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5716
Mailing Address - Country:US
Mailing Address - Phone:801-507-9600
Mailing Address - Fax:
Practice Address - Street 1:5171 S COTTONWOOD ST STE 650
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-5716
Practice Address - Country:US
Practice Address - Phone:801-507-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11414375-1205208600000X
IL036164802208600000X
IL036.164802204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery