Provider Demographics
NPI:1568707388
Name:KHUBCHANDANI, SAVITA
Entity Type:Individual
Prefix:MRS
First Name:SAVITA
Middle Name:
Last Name:KHUBCHANDANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 CLEAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3336
Mailing Address - Country:US
Mailing Address - Phone:989-598-6175
Mailing Address - Fax:
Practice Address - Street 1:102 CLEAR CREEK DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3336
Practice Address - Country:US
Practice Address - Phone:989-598-6175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23530225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist