Provider Demographics
NPI:1487814372
Name:CHAND, MASTIAN GV (MD)
Entity Type:Individual
Prefix:
First Name:MASTIAN
Middle Name:GV
Last Name:CHAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6565 FANNIN ST
Mailing Address - Street 2:SUITE 1003
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:713-441-1000
Mailing Address - Fax:713-790-2643
Practice Address - Street 1:6565 FANNIN ST
Practice Address - Street 2:SUITE 1003
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-441-1000
Practice Address - Fax:713-790-2643
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ45689207RC0200X, 207RP1001X
TXQ1580207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ45689OtherSTATE LICENSE
TX351911803Medicaid
AZ695684Medicaid
TX8FU634OtherBCBS
TX419089ZSWDMedicare PIN