NPI age
19 years
Enumerated 2007-05-07
● Active
Type 1 · Individual
Chandan Mazumder, M.D.
Mazumder is 1 of 35 pediatrics providers in Midland and 1 of 7055 in Texas.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-07-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 7055 active pediatrics providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
1900 W Wall St Ste C
Midland, TX 797016568
Mailing address
4214 Andrews Hwy Ste 240
Midland, TX 797034817
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 279640600 | |
| 05 (TX) | 305512101 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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