Jim Phanucharas, M.d., Inc.

NPI #1194932236 in Fresno, California

Provider Information

NPI Number: 1194932236
Entity Type: Organization
Organization Name: Jim Phanucharas, M.d., Inc.
Primary Specialty: Internal Medicine
Enumeration Date: May 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7797 N 1ST ST # 270
City: Fresno
State: California
ZIP Code: 93720-0962
Phone: (559) 261-2566

Authorized Official

Name: JIM PHANUCHARAS, M.D.
Title: OWNER PHYSICIAN
Phone: (559) 261-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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