Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | R2173 | TX |
NPI | 1407295710 |
---|---|
Provider Name | Dr. Anish Mirchandani |
First Address | Dallas, TX 75203-1586 |
Second Address | Dallas, TX 75203-1586 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 04/02/2021 |