Individual provider · Type 1 NPI
Shushan Petrosyan, RDCS, RDMS, RVT
Diagnostic Ultrasound Physician · Fresno, CA
NPI number
1104502806
Active
Practice location
1095 E Shaw Ave Ste 200A
Fresno, CA 93710-7813
Mailing address
4460 W Shaw Ave Pmb 408
Fresno, CA 93722-6210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Ultrasound Physician Primary | 2085U0001X | 196865 (CA) |
Diagnostic Ultrasound Physician: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
About NPI 1104502806
Shushan Petrosyan, RDCS, RDMS, RVT's National Provider Identifier is 1104502806, issued on Jun 26, 2023. The primary taxonomy on file is Diagnostic Ultrasound Physician (2085U0001X), and the practice location is in Fresno, CA. The record was last updated on Jun 26, 2023.