# VASCULAR AND CARDIOTHORACIC SURGICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265714620
- **Authorized official:** DR. PERVAIZ CHAUDHRY (MEDICAL DOCTOR)
- **Authorized official phone:** (310) 914-9150

## Contact information

- **Practice address:** 4650 N PALM AVE, FRESNO, CA 93704-3035
- **Practice address phone:** (310) 914-9150
- **Practice address fax:** (310) 914-9705
- **Mailing address:** PO BOX 25518, FRESNO, CA 93729-5518
- **Mailing address phone:** (310) 914-9150
- **Mailing address fax:** (310) 914-9705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2011
- **Last updated:** 09/12/2011