Individual provider · Type 1 NPI

Keith Edward Fraker, MD

Diagnostic Radiology Physician · San Jose, CA

NPI number 1366405953 Active

Practice location

751 S Bascom Ave, Diagnostic Imaging Department
San Jose, CA 95128-2604

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XC30182 (CA)
Diagnostic Radiology Physician Primary 2085R0202XC30182 (CA)

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 1366405953

Keith Edward Fraker, MD's National Provider Identifier is 1366405953, issued on Apr 6, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Jose, CA. The record was last updated on Jan 7, 2009.