Provider Demographics
NPI:1962848275
Name:BURK, CHAD R (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:R
Last Name:BURK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9323 E BAHIA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-562-6610
Mailing Address - Fax:520-463-4419
Practice Address - Street 1:ENVITA INTERVENTIONAL RADIOLOGY
Practice Address - Street 2:9323 E BAHIA DR STE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-562-6610
Practice Address - Fax:520-463-4419
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2024-03-28
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Provider Licenses
StateLicense IDTaxonomies
AZ586092085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology