Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fred Charles Vannatta, MD

Individual provider Diagnostic Radiology Physician · NPI 1891897617

Dr. Fred Charles Vannatta, MD is a Diagnostic Radiology Physician in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in Arizona, California, Connecticut and New Jersey and 2 more.

Licensed in
AZ, CA, CT, NJ, NY, PA
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

695 Dutchess Tpke Ste 105
Poughkeepsie, NY 12603-6442
Phone: (888) 647-5979
Fax: (888) 847-0818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 141442 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA07673300 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 31689 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 041448 (CT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A23570 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD041298E (PA)

Record details

NPI number1891897617
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 2, 2006
Last updated in NPPESDecember 6, 2007

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