Provider Demographics
NPI:1518926583
Name:CHAVDA, DEEPAK VIRJEEBHAI (MD)
Entity Type:Individual
Prefix:
First Name:DEEPAK
Middle Name:VIRJEEBHAI
Last Name:CHAVDA
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 1:8251 BEDFORD EULESS RD
Mailing Address - Street 2:STE 210
Mailing Address - City:N RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7200
Mailing Address - Country:US
Mailing Address - Phone:817-656-7827
Mailing Address - Fax:
Practice Address - Street 1:8251 BEDFORD EULESS RD
Practice Address - Street 2:#210
Practice Address - City:N. RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180
Practice Address - Country:US
Practice Address - Phone:817-656-7827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5282207X00000X, 207XS0114X, 207XS0117X, 207XX0004X, 207XX0005X, 207XX0801X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097053504Medicaid
TX8J1350OtherBCBS
TX097053503Medicaid
TX097053503Medicaid
TX097053504Medicaid
TX097053504Medicaid