Active NPIIndividual providerSole proprietor

Elena Fradkov, MD

Internal Medicine, Gastroenterology in Cambridge, Massachusetts

NPI Number1326438953
Practice location
300 Mount Auburn St, Cambridge, MA 02138-5600
Fax
—
Last updated
June 24, 2021

Elena Fradkov is an Internal Medicine, Gastroenterology based in Cambridge, MA. Elena Fradkov practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Elena Fradkov is 1326438953 and holds a License No. 4301114431 (MI). The current practice location address for Elena Fradkov is 300 Mount Auburn St, Cambridge, MA 02138-5600 and can be reached out via phone at 617-492-3500.

Provider Profile Details

NPI Number
1326438953
Provider Name
Elena Fradkov
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Mount Auburn St, Cambridge, MA 02138-5600
Phone Number
617-492-3500
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
Yes
Provider Enumeration Date
February 3, 2015
Last Update Date
June 24, 2021
Certification Date
June 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Mount Auburn St
Cambridge, MA 02138-5600
Zip
02138-5600
Phone Number
617-492-3500
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
300 Mount Auburn St
Cambridge, MA 02138-5600
City
Cambridge
State
MA
Zip
02138-5600

License Information

License Number (2)
4301114431
License State (2)
MI
License Number (3)
285922
License State (3)
MA
Taxonomy (3)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elena Fradkov, MD?

The NPI number of Elena Fradkov, MD is 1326438953. It was assigned on February 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Elena Fradkov, MD?

Elena Fradkov, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in MI under license number 4301114431.

Where does Elena Fradkov, MD practice?

The practice location is 300 Mount Auburn St, Cambridge, MA 02138-5600. The office can be reached at 617-492-3500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326438953 directly on the NPPES registry website.

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