Shushan Petrosyan, RDCS, RDMS, RVT

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

196865 Issued in CA

Practice address

1095 E Shaw Ave Ste 200a
Fresno, CA 93710-7813

Phone

(559) 906-6667

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1104502806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 W SHAW AVE PMB 408",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 E SHAW AVE STE 200A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107813",
            "telephone_number": "559-906-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSYAN",
        "first_name": "SHUSHAN",
        "credential": "RDCS, RDMS, RVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "196865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Animesh Petkar, M.D.
• Angie Petrakis
• Marla Ann Petriello, DO
• Armine Petrosyan, NP
• Arpine Petrosyan, MD
• Anne S Petrovich, PHD
• Michael Petrovich, PH.D.
• Courtenay Elizabeth Pettigrew, M.D.
• Howard David Pettigrew, MD, PHD
• Sonya D Pettus, MD

• Diagnostic Ultrasound Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.