Healthcare Provider Details

I. General information

NPI: 1295309235
Provider Name (Legal Business Name): CHRISTIAN BORASHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2021
Last Update Date: 05/07/2022
Certification Date: 05/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 FRESNO ST
FRESNO CA
93721-1324
US

IV. Provider business mailing address

2887 UTICA CIR
LAS VEGAS NV
89146-5170
US

V. Phone/Fax

Practice location:
  • Phone: 559-459-5196
  • Fax:
Mailing address:
  • Phone: 702-373-8411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: