Fereidoun Bakhsh Tehrani, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD039033L Issued in PA

Practice address

6521 Frankford Ave
Phila, PA 19135

Phone

(215) 624-2303

Fax

(215) 624-2577

NPI assigned

Dec 1, 2005

Last updated

Jan 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fred Bakhsh Tehrani Other name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1770567901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 FRANKFORD AVE",
            "city": "PHILA",
            "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": "PHILA",
            "state": "PA",
            "postal_code": "19135",
            "telephone_number": "215-624-2303",
            "fax_number": "215-624-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "FEREIDOUN",
        "middle_name": "BAKHSH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039033L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022630210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "TEHRANI",
            "middle_name": "BAKHSH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Sweeney, CRNP
• Laura Symczyk, RN
• Randy Tammara, PHARMD CDE
• Judith Ann Tanenbaum, PAC
• Taylor Home Care Agency
• Jesse Telles, MEDICAL CASE MANAGER
• Temple Center for Population Health, LLC
• Temple Physicians Inc
• Temple Physicians Inc
• Temple Physicians Inc

• Family Medicine Physician in Phila, PA
• Providers in Phila, 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 Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.