Provider Demographics
NPI:1841219078
Name:HOUTS, CHANDA DAY (DPM)
Entity type:Individual
Prefix:DR
First Name:CHANDA
Middle Name:DAY
Last Name:HOUTS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:875 FRIENDSHIP RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:TALLASSEE
Mailing Address - State:AL
Mailing Address - Zip Code:36078-1234
Mailing Address - Country:US
Mailing Address - Phone:334-283-3897
Mailing Address - Fax:334-283-3899
Practice Address - Street 1:875 FRIENDSHIP RD
Practice Address - Street 2:SUITE K
Practice Address - City:TALLASSEE
Practice Address - State:AL
Practice Address - Zip Code:36078-1234
Practice Address - Country:US
Practice Address - Phone:334-283-3897
Practice Address - Fax:334-283-3899
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL242213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-04956OtherBLUE CROSS/BLUE SHIELD
AL2710180OtherUNITED HEALTH CARE
ALC831OtherMEDICARE GROUP PAYOR ID
ALC831OtherMEDICARE GROUP PAYOR ID