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NPI Code Detail

MEDICARE: DR. AMIT MIRCHANDANI M.D.

MEDICARE: DR. AMIT MIRCHANDANI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianN9604TX
2207LP2900XPain Medicine (Anesthesiology) PhysicianN9604TX

General Provider Information

NPI Number : 1457687378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMIT MIRCHANDANI M.D.
Provider Business Mailing Address
First Line : 1850 LAKEPOINTE DR
Second Line : STE 700
City : LEWISVILLE
State : TX
Zip : 75057-6442
Country : US
Telephone Number : 214-306-4116
Fax Number : 469-630-0069
Provider Business Practice Location Address
First Line : 1850 LAKEPOINTE DR STE 700
Second Line :
City : LEWISVILLE
State : TX
Zip : 75057-6442
Country : US
Telephone Number : 214-306-4116
Fax Number : 469-630-0069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2009
Last Update Date : 06/03/2021

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