Healthcare Provider Details

I. General information

NPI: 1487588182
Provider Name (Legal Business Name): ZAHID CHANNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12007 N LAMAR BLVD APT 1312
AUSTIN TX
78753-1721
US

IV. Provider business mailing address

12007 N LAMAR BLVD APT 1312
AUSTIN TX
78753-1721
US

V. Phone/Fax

Practice location:
  • Phone: 339-333-5794
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: