IndividualActive
Truc Ta, M.D.
NPI 1114459831 · Vascular Surgery Physician · Portland, ME
Provider details
- NPI number
- 1114459831
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 80796 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-0111
Approximate (ZIP-level) locationGet directions
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Additional practice locations (1)
- 2270 S Ridgeview Dr Ste 201Yuma, AZ 85364-8880Phone: (928) 344-5055Fax: (928) 336-6290
Registry dates
- Enumerated
- 2017-03-31
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.