Jim Pedram Phanucharas in Fresno - Internal Medicine
Jim Pedram Phanucharas - NPI 1578583597
Jim Pedram Phanucharas is a Internal Medicine in Fresno, California. Jim Pedram Phanucharas practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jim Pedram Phanucharas is 1578583597. The last update date is 2015-12-29.
Jim Pedram Phanucharas's current location address is 7797 N 1st St # 270, Fresno, California. You can contact this provider via phone number 5592612566 and fax number 5594354319. The mailing address for Jim Pedram Phanucharas is 7797 N 1st St # 270, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim Pedram Phanucharas |
|---|---|
| Address | 7797 N 1st St # 270, Fresno, California |
| Phone Number | 5592612566 |
| Fax Number | 5594354319 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578583597 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2015-12-29 |
Provider Mailing Address Detail
| Address | 7797 N 1st St # 270 |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937200962 |
| Phone Number | 5592612566 |
| Fax Number | 5594354319 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A82493 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A82493 | CALIFORNIA LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jim Pedram Phanucharas?
The Jim Pedram Phanucharas has been issued the NPI (National Provider Identifier) 1578583597 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jim Pedram Phanucharas is located?
The Jim Pedram Phanucharas is situated at the following address: 7797 N 1St St # 270, Fresno, CA, 937200962.
What is the Jim Pedram Phanucharas's specialty and taxonomy code?
The Jim Pedram Phanucharas's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did Jim Pedram Phanucharas receive its 1578583597 assignment from the Centers for Medicare & Medicaid Services?
The Jim Pedram Phanucharas was assigned its 1578583597 on 2006-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jim Pedram Phanucharas most recently updated?
The details pertaining to the Jim Pedram Phanucharas, including its address, specialty, and other relevant information, were last refreshed on 2015-12-29.