Provider Demographics
NPI:1245465608
Name:ADAM FREEDHAND MD INC
Entity type:Organization
Organization Name:ADAM FREEDHAND MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEDHAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-528-8899
Mailing Address - Street 1:2540 SISTER MARY COLUMBA DR
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-4327
Mailing Address - Country:US
Mailing Address - Phone:530-528-8899
Mailing Address - Fax:530-528-8898
Practice Address - Street 1:6 WOODLAND RD STE 204
Practice Address - Street 2:
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-9501
Practice Address - Country:US
Practice Address - Phone:707-968-0964
Practice Address - Fax:530-528-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94757207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA94757OtherBLUE CROSS
CAGR0102820Medicaid
CA00A947570OtherBLUE SHIELD
CA1306888078Medicare NSC