Poordad, Fred F

Poordad, Fred F is an individual health care provider with primary practice located at 607 Camden St Ste 108 , San Antonio TX 78215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Poordad, Fred F can be contacted via phone (210) 253-3426.

Contact Information

Primary practice address
607 Camden St Ste 108 San Antonio TX 78215
Phone: (210) 253-3426
Fax: (210) 227-6951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X P3952 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X P3952 Texas

Profile Details

NPI number 1174551766
LBN Legal business name Poordad, Fred F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated May 31st, 2018 - about 7 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174551766 NPPES
Texas MEDICAID 306530205

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