Fred Tehrani MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRED TEHRANI MD LLC

Practice address

6521 Frankford Ave
Philadelphia, PA 19135-2538

Phone

(215) 624-2303

Fax

(215) 624-2577

NPI assigned

Jan 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fred Tehrani, MD

Title

President

Phone

(215) 624-2303

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1386881910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191352538",
            "telephone_number": "215-624-2303",
            "fax_number": "215-624-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191352538",
            "telephone_number": "215-624-2303",
            "fax_number": "215-624-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED TEHRANI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-624-2303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022630210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Schante Yolanda Frazier, MA
• Tyan Frazier, PHARM.D.
• Jenna Frazzini, M.S., CCC-SLP
• Melanie A Freas, CRNP
• Jack Frebel, PA-C
• Jennifer Freda
• Lewis M. Fredane, MD
• Andrew Michael Freddo, MD, PHD
• Andrea Frederic, REGISTERED NURSE
• Ted Marcel Frederic, DO

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.