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NPI Code Detail

MEDICARE: DR. RICHARD B FRIEDMAN MD

MEDICARE:  DR. RICHARD B FRIEDMAN  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
12085R0001XRadiation Oncology Physician15552MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25603745OTHERMSAETNA
31013919216OTHERMSNPI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013919216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD B FRIEDMAN MD
Provider Business Mailing Address
First Line : 970 LAKELAND DR
Second Line : SUITE 34
City : JACKSON
State : MS
Zip : 39216-4635
Country : US
Telephone Number : 601-362-0600
Fax Number : 601-362-1186
Provider Business Practice Location Address
First Line : 1225 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39202-2064
Country : US
Telephone Number : 601-968-1416
Fax Number : 601-968-1218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 02/13/2023

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Directions to “ DR. RICHARD B FRIEDMAN MD” Practice Location

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