Basic Information
| Provider Information | |||||||||
| NPI: | 1881675577 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRANI | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 173 CLEAR CREEKSIDE DR | ||||||||
| Address2: | |||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287927892 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286924289 | ||||||||
| FaxNumber: | 8286924396 | ||||||||
| Practice Location | |||||||||
| Address1: | BLUE RIDGE COMMUNITY HEALTH SERVICES, INC | ||||||||
| Address2: | 2579 CHIMNEY ROCK ROAD | ||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28792 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286924289 | ||||||||
| FaxNumber: | 8286924396 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0000X | 200400765 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine | Adolescent Medicine |
ID Information
| ID | Type | State | Issuer | Description | 341833 | 01 | NC | EUGS6 BC | OTHER | 341830 | 01 | NC | EUGS6 BC | OTHER | 8913652 | 05 | NC | MEDICAID | D5306 | 01 | NC | MEDCOST | OTHER | D5023 | 01 | NC | MEDCOST | OTHER | 0147G | 01 | NC | BCBS | OTHER | D5307 | 01 | NC | MEDCOST | OTHER |