Healthcare Provider Details

I. General information

NPI: 1528103330
Provider Name (Legal Business Name): PAMELA A ZACHAR MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DOCTORS MEDICAL CENTER 1441 FLORIDA AVENUE
MODESTO CA
95350
US

IV. Provider business mailing address

4450 BOW MAR DR
BOW MAR CO
80123-1430
US

V. Phone/Fax

Practice location:
  • Phone: 209-576-3710
  • Fax:
Mailing address:
  • Phone: 303-358-9956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number39405
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13938
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number39405
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: