Individual provider · Type 1 NPI

James Reza Farroknejad Fernandez, MD

Diagnostic Radiology Physician · Eden Prairie, MN

NPI number 1083959142 Active

Practice location

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Call (952) 595-1301 Map

Fax (612) 294-4903

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XQ2764 (TX)
Diagnostic Radiology Physician Primary 2085R0202XMD.35137 (AL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1083959142

James Reza Farroknejad Fernandez, MD's National Provider Identifier is 1083959142, issued on Nov 30, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Eden Prairie, MN. The record was last updated on Mar 25, 2022.