Pukan Phaoudom (NPI# 1790844512, PAC ID# 5799096160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1790844512 |
| PAC ID by PECOS | 5799096160 |
| Professional Enrollment ID | I20150625002735 |
| Full Name | Pukan Phaoudom |
| Organization Legal Name | COUNTY OF FRESNO |
| Address |
4441 E Kings Canyon Rd Fresno CA 93702-3604 |
| Phone Number | 5596009193 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4981591690 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 5596009193 | COUNTY OF FRESNO |
| Organization Legal Name | COUNTY OF FRESNO |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois E Ratzlaff | Clinical Social Worker | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Patricia A Santy | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Maria Myra L Mallada | Nurse Practitioner | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Maria Szpyt Domanska | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Denys Arrieta Zorro | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Richard Macari Vasquez | Clinical Social Worker | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Laila Akhbarati | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Saydra R Wilson | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Narine Zilfugharyan | Clinical Social Worker | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Cecilia Solis Salazar | Nurse Practitioner | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Street Address |
4441 E KINGS CANYON RD |
| City | FRESNO |
| State | CA |
| Zip | 93702-3604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois E Ratzlaff | Clinical Social Worker | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Patricia A Santy | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Maria Myra L Mallada | Nurse Practitioner | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Maria Szpyt Domanska | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Denys Arrieta Zorro | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Richard Macari Vasquez | Clinical Social Worker | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Laila Akhbarati | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Saydra R Wilson | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Narine Zilfugharyan | Clinical Social Worker | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Cecilia Solis Salazar | Nurse Practitioner | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hipolito G Mariano Jr. | Family Medicine | 3121 E Olive Ave, Suite 1, Fresno, CA 93702-1030 | |
| Hing B Luong | Internal Medicine | 3240 E Olive Ave, Fresno, CA 93702-1033 | |
| Salvador A Gonzalez | Family Medicine | Clinica Sierra Vista | 1350 S Orange Ave, Fresno, CA 93702-3463 |
| Ryan C Johnson | Obstetrics/gynecology | Clinica Sierra Vista | 1350 S Orange Ave, Fresno, CA 93702-3463 |
| Mark A Pinto | Internal Medicine | Clinica Sierra Vista | 1350 S Orange Ave, Fresno, CA 93702-3463 |
| Randall G Turner | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
| Jennifer G Tarazon | Nurse Practitioner | California Emergency Physicians Medical Group A Professional Corp | 1715 S Cedar Ave, Fresno, CA 93702-4331 |
| Michael Frazier | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
| Armen H Bedrosian | Internal Medicine | California Emergency Physicians Medical Group A Professional Corp | 1715 S Cedar Ave, Fresno, CA 93702-4331 |
| Gurvinder Kaur | Internal Medicine | California Emergency Physicians Medical Group A Professional Corp | 1715 S Cedar Ave, Fresno, CA 93702-4331 |
| Find all physicians in zip 93702 | |||
| City | FRESNO |
| Zip Code | 93702 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FRESNO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Pukan Phaoudom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.