Zarina Z. Bandukwala, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036062340 Issued in IL

Practice address

5025 N Paulina St
Chicago, IL 60640-2772

Phone

(773) 271-9040

Fax

(773) 989-1516

NPI assigned

Mar 31, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1790805778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ELIZABETH CT",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152041",
            "telephone_number": "847-236-0817",
            "fax_number": "847-236-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-271-9040",
            "fax_number": "773-989-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDUKWALA",
        "first_name": "ZARINA",
        "middle_name": "Z.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036062340",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036062340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sindhura Bandi, MD
• Maanasa Bandla
• Susej Bandres, DMD
• Alaina Bandstra
• Sonja Renee Bandstra, LCSW
• Jamie Bandy
• Peggy L Bandy, M.D.
• Gargi Bandyopadhyay
• Jack Mitchell Bane
• Marta E Banegas, M.D.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.