Individual provider · Type 1 NPI
Praveen Chandar Balraj, MD
Vascular Surgery Physician · Queen Creek, AZ
NPI number
1447562640
Active
Practice location
21321 E Ocotillo Rd Ste 125
Queen Creek, AZ 85142-5995
Fax (480) 936-7723
Mailing address
2040 S Alma School Rd Ste 1
Chandler, AZ 85286-7076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | MT191085 (PA) |
| Vascular Surgery Physician | 2086S0129X | 4301103519 (MI) |
| Vascular Surgery Physician Primary | 2086S0129X | 55078 (AZ) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
5 other providers at this address
- Canyon Pain and SpineDurable Medical Equipment & Medical Supplies Queen Creek, AZ NPI 1235903709
- Summit Health Physical Therapy LLCPhysical Therapist Queen Creek, AZ NPI 1538718291
- Vascular Institute of Arizona PLLCVascular Surgery Physician Queen Creek, AZ NPI 1093380941
- Jared GranPhysical Therapist Queen Creek, AZ NPI 1821563057
- Tyler John Bradshaw, DCChiropractor Queen Creek, AZ NPI 1588005136
About NPI 1447562640
Praveen Chandar Balraj, MD's National Provider Identifier is 1447562640, issued on Jul 6, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Queen Creek, AZ. The record was last updated on Jul 22, 2021.