Active NPI
Pervaiz Akhtar Chaudhry, MD
- Vascular Surgery Physician
- Fresno, CA
National Provider Identifier
1104804475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A79662
- Practice address
- 30 E River Park PL W
#260
Fresno, CA 93720-1545 - Phone
- (559) 441-1774
- Fax
- (559) 441-0726
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A79662 | CA | Primary |
Addresses
Primary practice location
30 E River Park PL W
#260
Fresno, CA 93720-1545
Mailing address
30 E River Park PL W
#260
Fresno, CA 93720-1545
Phone (559) 441-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Cardiac Surgery Medical Group | Current | Accepting new patients |
Locations
1903 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 226-2722
1903 E Fir Ave
Ste 101Q
Fresno, CA 93720
30 E River Park Pl W
Ste 260
Fresno, CA 93720
Phone (559) 441-1774
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fresno, CA
- NPI 1609983220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1104804475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E RIVER PARK PL W",
"address_2": "#260",
"city": "FRESNO",
"state": "CA",
"postal_code": "937201545",
"telephone_number": "559-441-1777",
"fax_number": "559-441-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E RIVER PARK PL W",
"address_2": "#260",
"city": "FRESNO",
"state": "CA",
"postal_code": "937201545",
"telephone_number": "559-441-1774",
"fax_number": "559-441-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHRY",
"first_name": "PERVAIZ",
"middle_name": "AKHTAR",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A79662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.