Provider Demographics
NPI:1497437727
Name:CHOUDHARY, ZAIN ULABIDIN (DMD)
Entity Type:Individual
Prefix:
First Name:ZAIN
Middle Name:ULABIDIN
Last Name:CHOUDHARY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5155 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-2355
Mailing Address - Country:US
Mailing Address - Phone:415-240-9831
Mailing Address - Fax:
Practice Address - Street 1:1105 VETERANS BLVD STE D
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2062
Practice Address - Country:US
Practice Address - Phone:650-367-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109065122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist