SHUSHAN PETROSYAN RDCS, RDMS, RVT – NPI #1104502806
Radiology

A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

SHUSHAN PETROSYAN is a radiologist located in FRESNO, CA. NPPES has assigned the NPI number 1104502806 to SHUSHAN PETROSYAN on June 26, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085U0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Ultrasound

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHUSHAN PETROSYAN below.

NPI Profile for
SHUSHAN PETROSYAN

NPI Number
1104502806
Enumeration Date

(about 3 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHUSHAN PETROSYAN
Credentials
RDCS, RDMS, RVT
Primary location
1095 E SHAW AVE STE 200A
FRESNO, CA 93710-7813
Phone: (559) 906-6667 Fax:
Mailing address
4460 W SHAW AVE PMB 408
FRESNO, CA 93722-6210
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085U0001X
- Radiology / Diagnostic Ultrasound (Primary)
CA 196865

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.