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NPI Code Detail

MEDICARE: FRED HAGEN LANINGHAM III MD

MEDICARE: FRED HAGEN LANINGHAM III 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
12085P0229XPediatric Radiology Physician29598TN
22085R0202XDiagnostic Radiology Physician29598TN
32085R0202XDiagnostic Radiology PhysicianG75723CA
42085P0229XPediatric Radiology PhysicianG75723CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962405753
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRED HAGEN LANINGHAM III MD
Provider Business Mailing Address
First Line : 725 WELCH RD
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-1601
Country : US
Telephone Number : 650-497-8000
Fax Number :
Provider Business Practice Location Address
First Line : 725 WELCH RD
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-1601
Country : US
Telephone Number : 650-497-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/24/2025

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