Individual
AI P PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6500
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A101006
CA
Other
Enumeration date
08/28/2007
Last updated
12/06/2021
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