Provider Demographics
NPI:1861499808
Name:CHANGLANI, MAHESH GHANSHYAM (MD)
Entity Type:Individual
Prefix:
First Name:MAHESH
Middle Name:GHANSHYAM
Last Name:CHANGLANI
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:PO BOX 4449
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4449
Mailing Address - Country:US
Mailing Address - Phone:956-362-2171
Mailing Address - Fax:956-618-3051
Practice Address - Street 1:5521 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2208
Practice Address - Country:US
Practice Address - Phone:956-362-8420
Practice Address - Fax:956-362-8448
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10976R207RC0000X
TXP8456207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX330853802Medicaid
TX353484YUQGMedicare PIN
LA1999288Medicaid
LAF59519Medicare UPIN