Keith Edward Fraker in San Jose - Diagnostic Radiology
Keith Edward Fraker - NPI 1366405953
Keith Edward Fraker is a Diagnostic Radiology in San Jose, California. Keith Edward Fraker practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Keith Edward Fraker is 1366405953. The last update date is 2009-01-07.
Keith Edward Fraker's current location address is 751 S Bascom Ave, San Jose, California. You can contact this provider via phone number 4088856370. The mailing address for Keith Edward Fraker is 751 S Bascom Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Edward Fraker |
|---|---|
| Address | 751 S Bascom Ave, San Jose, California |
| Phone Number | 4088856370 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366405953 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2009-01-07 |
Provider Mailing Address Detail
| Address | 751 S Bascom Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282604 |
| Phone Number | 4088856370 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | C30182 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C301820 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Keith Edward Fraker by the Centers for Medicare & Medicaid Services?
The Keith Edward Fraker has been assigned the NPI (National Provider Identifier) 1366405953 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Keith Edward Fraker is physically located?
The Keith Edward Fraker is physically situated at the following address: 751 S Bascom Ave, San Jose, CA, 951282604.
What is Keith Edward Fraker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keith Edward Fraker is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date was the 1366405953 assigned to Keith Edward Fraker?
The Keith Edward Fraker was issued its 1366405953 on 2006-04-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Keith Edward Fraker last refreshed?
The information related to the Keith Edward Fraker, including its address, specialty, and other relevant details, was last updated on 2009-01-07.