Provider Demographics
NPI:1821269424
Name:FRED F. NARAGHI, MD., INC.
Entity Type:Organization
Organization Name:FRED F. NARAGHI, MD., INC.
Other - Org Name:FRED F. NARAGHI, MD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:F
Authorized Official - Last Name:NARAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-922-1500
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:415-744-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-22
Last Update Date:2012-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG 85181207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1235159856OtherMY PERSONAL NPI #
CA1235159856OtherMY PERSONAL NPI #