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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PRAVEEN CHANDAR BALRAJ, MD

Active

DR. PRAVEEN CHANDAR BALRAJ, MD is a Vascular Surgery healthcare provider located in QUEEN CREEK, Arizona. NPI 1447562640 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · QUEEN CREEK, AZ

Registration Details

NPI Number
1447562640
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2010 (16.134626480276 yrs)
Last Updated
Jul 22, 2021
Licenses
MT191085 (PA)
4301103519 (MI)
55078 (AZ)

Practice Information

Address
21321 E OCOTILLO RD STE 125
QUEEN CREEK, AZ, 851425995
Browse AZ providers · Browse ZIP 85142
Phone
4809367722
Fax
4809367723
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery
Additional Specialty
Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.