Yeganeh, Frederic K

Yeganeh, Frederic K is an individual health care provider with primary practice located at 7253 Ambassador Rd , Baltimore MD 21244-2710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Yeganeh, Frederic K can be contacted via phone (443) 436-1116.

Contact Information

Primary practice address
7253 Ambassador Rd Baltimore MD 21244-2710
Phone: (443) 436-1116
Fax: (443) 436-1256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X D0051389 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0051389 Maryland

Profile Details

NPI number 1710920582
LBN Legal business name Yeganeh, Frederic K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 16th, 2014 - about 10 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 1710920582 NPPES
Maryland MEDICAID 749601301

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