Provider Demographics
NPI:1235159856
Name:NARAGHI, FRED F (MD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:F
Last Name:NARAGHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 DANIEL BURNHAM CT
Mailing Address - Street 2:SUITE # 388C
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5455
Mailing Address - Country:US
Mailing Address - Phone:415-922-1500
Mailing Address - Fax:415-744-1200
Practice Address - Street 1:1 DANIEL BURNHAM CT
Practice Address - Street 2:SUITE # 388C
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5455
Practice Address - Country:US
Practice Address - Phone:415-922-1500
Practice Address - Fax:417-744-1200
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG85181207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH04223Medicare UPIN
CA00G851810Medicare ID - Type Unspecified