Basic Information
| Provider Information | |||||||||
| NPI: | 1235387697 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHANDABHAI | ||||||||
| FirstName: | HUZEFA | ||||||||
| MiddleName: | YUSUF | ||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 50 S BETHANY BEND CIR | ||||||||
| Address2: | |||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773821388 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3126182152 | ||||||||
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| Practice Location | |||||||||
| Address1: | 123 VISION PARK BLVD | ||||||||
| Address2: | |||||||||
| City: | SHENANDOAH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773843001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7736653000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2008 | ||||||||
| LastUpdateDate: | 12/11/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/11/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | P9819 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | P9819 | TX | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.