| Fred Tehrani Md Llc | |
|
6521 Frankford Ave Philadelphia PA 19135-2538 | |
| (215) 624-2303 | |
| (215) 624-2577 |
| Full Name | Fred Tehrani Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6521 Frankford Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Fred Tehrani (PRESIDENT) |
| Authorized Official Contact | 2156242303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Tehrani Md Llc 6521 Frankford Ave Philadelphia PA 19135-2538 Ph: (215) 624-2303 | Fred Tehrani Md Llc 6521 Frankford Ave Philadelphia PA 19135-2538 Ph: (215) 624-2303 |
| NPI Number | 1386881910 |
|---|---|
| Provider Enumeration Date | 01/20/2009 |
| Last Update Date | 05/01/2009 |
| Medicare PECOS PAC ID | 5890843874 |
|---|---|
| Medicare Enrollment ID | O20090430000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386881910 | NPI | - | NPPES |
| 1022630210001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Fereidoun B Tehrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770567901 PECOS PAC ID: 4284794645 Enrollment ID: I20081117000000 |
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