Provider Demographics
NPI:1245222900
Name:CARREA, FRANK P (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:P
Last Name:CARREA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4415
Mailing Address - Country:US
Mailing Address - Phone:775-770-7622
Mailing Address - Fax:775-770-7368
Practice Address - Street 1:645 N ARLINGTON AVE STE 555
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4452
Practice Address - Country:US
Practice Address - Phone:775-770-7622
Practice Address - Fax:775-770-3683
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6473207RC0000X
CAG86210207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2016109Medicaid
NV34673Medicare PIN
CAG862100Medicare PIN
NVB98896Medicare UPIN