Provider Demographics
NPI:1164666848
Name:WADHWANI, ZINAIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZINAIDA
Middle Name:
Last Name:WADHWANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZINAIDA
Other - Middle Name:
Other - Last Name:CHEPURNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4647 ZION AVE
Mailing Address - Street 2:DEPT OF ANESTHESIOLOGY
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2507
Mailing Address - Country:US
Mailing Address - Phone:619-528-7266
Mailing Address - Fax:
Practice Address - Street 1:4647 ZION AVE
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY AND PERIOPERATIVE PAIN
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-2507
Practice Address - Country:US
Practice Address - Phone:619-528-7266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133213207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology