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

Keith Edward Fraker, MD

Individual provider Body Imaging Physician · NPI 1366405953

Keith Edward Fraker, MD is a Body Imaging Physician in San Jose, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
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

751 S Bascom Ave Diagnostic Imaging Dept
San Jose, CA 95128-2604
Phone: (408) 885-6370
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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 C30182 (CA)
Body Imaging Physician Taxonomy 2085B0100X · Licence C30182 (CA)

Record details

NPI number1366405953
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESJanuary 7, 2009

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