Laningham, Fred Hagen
Laningham, Fred Hagen is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Laningham, Fred Hagen can be contacted via phone (650) 497-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 29598 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G75723 | California |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | G75723 | California |
Profile Details
| NPI number | 1962405753 |
|---|---|
| LBN Legal business name | Laningham, Fred Hagen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Apr 8th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962405753 | NPPES |
| California | MEDICAID | 00G75723 | |
| California | MEDICAID | 100249677-00 | |
| California | MEDICAID | 0547182 | |
| California | MEDICAID | 200347310A | |
| California | MEDICAID | 0030911 | |
| California | MEDICAID | 00124209 | |
| California | MEDICAID | 104677750 | |
| California | MEDICAID | 143636001 | |
| California | MEDICAID | 422400000 | |
| California | MEDICAID | 0089692 | |
| California | MEDICAID | 218597956A | |
| California | MEDICAID | 3863255 | |
| California | MEDICAID | 7613057 | |
| California | MEDICAID | 009975820 | |
| California | MEDICAID | 1110990 | |
| California | MEDICAID | 200354520A | |
| California | MEDICAID | 205329717 | |
| California | MEDICAID | 64044696 |
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