Healthcare Provider Details

I. General information

NPI: 1154597870
Provider Name (Legal Business Name): PAM K JANDA M D INC A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7078 N MAPLE AVE
FRESNO CA
93720-8023
US

IV. Provider business mailing address

7078 N MAPLE AVE STE 101
FRESNO CA
93720-8023
US

V. Phone/Fax

Practice location:
  • Phone: 559-449-8200
  • Fax: 559-449-1227
Mailing address:
  • Phone: 559-449-8200
  • Fax: 559-449-1227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAM K JANDA
Title or Position: OWNER
Credential: MD
Phone: 559-449-8200