Balraj, Praveen Chandar

Balraj, Praveen Chandar is an individual health care provider with primary practice located at 21321 E Ocotillo Rd Ste 125 , Queen Creek AZ 85142-5995. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Balraj, Praveen Chandar can be contacted via phone (480) 936-7722.

Contact Information

Primary practice address
21321 E Ocotillo Rd Ste 125 Queen Creek AZ 85142-5995
Phone: (480) 936-7722
Fax: (480) 936-7723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT191085 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301103519 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 55078 Arizona

Profile Details

NPI number 1447562640
LBN Legal business name Balraj, Praveen Chandar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated Jul 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447562640 NPPES
Arizona MEDICAID 316871

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