# FRED TEHRANI MD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386881910
- **Authorized official:** FRED TEHRANI MD (PRESIDENT)
- **Authorized official phone:** (215) 624-2303

## Contact information

- **Practice address:** 6521 FRANKFORD AVE, PHILADELPHIA, PA 19135-2538
- **Practice address phone:** (215) 624-2303
- **Practice address fax:** (215) 624-2577
- **Mailing address:** 6521 FRANKFORD AVE, PHILADELPHIA, PA 19135-2538
- **Mailing address phone:** (215) 624-2303
- **Mailing address fax:** (215) 624-2577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2009
- **Last updated:** 05/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1022630210001 | — | PA |