Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Praveen Chandar Balraj, MD

Individual provider Surgery Physician · NPI 1447562640

Dr. Praveen Chandar Balraj, MD is a Vascular Surgery in Queen Creek, Arizona. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Arizona, Michigan and Pennsylvania.

Years since qualifying
24
Licensed in
AZ, MI, PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21321 E Ocotillo Rd Ste 125
Queen Creek, AZ 85142-5995
Phone: (480) 936-7722
Fax: (480) 936-7723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 55078 (AZ)
Surgery Physician Taxonomy 208600000X · Licence MT191085 (PA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 4301103519 (MI)

Record details

NPI number1447562640
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2010
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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