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Keith Edward Fraker, MD
Diagnostic Radiology Physician in San Jose, California
NPI 1366405953

Keith Edward Fraker is a Diagnostic Radiology Physician based in San Jose, CA and is specialized in Diagnostic Radiology. Keith Edward Fraker practices in San Jose, CA and has the professional credentials of MD. The NPI Number for Keith Edward Fraker is 1366405953 and holds a License No. C30182 (California).

The current practice location address for Keith Edward Fraker is 751 S Bascom Ave, San Jose, CA and can be reached out via phone at 408-885-6370.

Location: 751 S Bascom Ave, San Jose, CA, 95128-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366405953
Provider Name
Keith Edward Fraker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
751 S Bascom Ave, San Jose, CA, 95128-2604
Phone Number
408-885-6370
Fax Number
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C301820 05 CA
institution
Provider Business Practice Location Address Details
Address
751 S Bascom Ave
City
San Jose
State
California
Zip
95128-2604
Phone Number
408-885-6370
Fax Number
person
Provider Business Mailing Address Details
Address
751 S Bascom Ave
City
San Jose
State
California
Zip
95128-2604
Phone Number
408-885-6370
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
C30182 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
C30182 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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