Provider Demographics
NPI:1457687378
Name:MIRCHANDANI, AMIT (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIT
Middle Name:
Last Name:MIRCHANDANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 LAKEPOINTE DR
Mailing Address - Street 2:STE 700
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-6442
Mailing Address - Country:US
Mailing Address - Phone:214-306-4116
Mailing Address - Fax:469-630-0069
Practice Address - Street 1:1850 LAKEPOINTE DR STE 700
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-6442
Practice Address - Country:US
Practice Address - Phone:214-306-4116
Practice Address - Fax:469-630-0069
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9604207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology