Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | G85181 | CA |
NPI | 1235159856 |
---|---|
Provider Name | Dr. Fred F. Naraghi |
First Address | San Francisco, CA 94109-5455 |
Second Address | San Francisco, CA 94109-5455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 16/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H04223 | (02) | CA |