Provider Demographics
NPI:1508891458
Name:KHUBCHANDANI, ZUBIN G (MD)
Entity Type:Individual
Prefix:DR
First Name:ZUBIN
Middle Name:G
Last Name:KHUBCHANDANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 IRA E WOODS AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-4012
Mailing Address - Country:US
Mailing Address - Phone:817-421-0505
Mailing Address - Fax:817-421-6060
Practice Address - Street 1:815 IRA E WOODS AVE
Practice Address - Street 2:STE 100
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-4012
Practice Address - Country:US
Practice Address - Phone:817-421-0505
Practice Address - Fax:817-421-6060
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4493207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0054LSOtherBC/BS
TX3003838OtherAETNA
TX4089613OtherHEALTHMARKET
TX172659801Medicaid
TX4089613OtherHEALTHMARKET
TX172659801Medicaid