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Physician Compare National (NPI:1184769879)

HEALTHCARE PROVIDER: DENARD MANUEL FOBBS SR. M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1184769879
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1456512474
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120418000196
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name FOBBS
Individual professional last name
Provider First Name DENARD
Individual professional first name
Provider Middle Name MANUEL
Individual professional middle name
Provider Name Suffix Text I
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name HOWARD UNIVERSITY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1976
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 7455 N FRESNO ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 202
Group Practice or individual's line 2 address
City FRESNO
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 937202481
Group Practice or individual's zip code (9 digits when available)
Phone Number 5592257600
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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