Provider Demographics
NPI:1407851827
Name:FRAKER, ANN E (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:E
Last Name:FRAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6535 N CHARLES ST
Mailing Address - Street 2:STE 400
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5826
Mailing Address - Country:US
Mailing Address - Phone:410-828-7417
Mailing Address - Fax:410-828-0257
Practice Address - Street 1:6535 N CHARLES ST
Practice Address - Street 2:STE 400
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-5826
Practice Address - Country:US
Practice Address - Phone:410-828-7417
Practice Address - Fax:410-828-0257
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD58688174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD271LMedicare ID - Type UnspecifiedMEDICARE
MDG48337Medicare UPIN