MEDICARE: DR. ISADORA FRAZAO LINFORD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2085R0202X	Diagnostic Radiology Physician	81579	MN

General Provider Information

NPI Number	:	1003438714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISADORA FRAZAO LINFORD MD

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	955 MAIN ST STE 7230
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14203-1121
Country	:	US
Telephone Number	:	716-829-2012
Fax Number	:	716-829-3999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2020
Last Update Date	:	05/13/2026

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