Rajan K Mirchandani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2000328 Issued in NM

Practice address

1010 Spruce St
Espanola Hospital PMG Clinic
Espanola, NM 87532-2724

Phone

(505) 367-0340

Fax

(505) 367-4470

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Presbyterian Healthcare Services

  • Medicare Defined Swing Bed Hospital Unit
  • Clovis, NM
  • NPI 1053397497
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1295829679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-5356",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SPRUCE ST",
            "address_2": "ESPANOLA HOSPITAL PMG CLINIC",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322724",
            "telephone_number": "505-367-0340",
            "fax_number": "505-367-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRCHANDANI",
        "first_name": "RAJAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2000328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7565",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Meneakis, OD
• Valerie Merl, MD
• Michael S. Redman, D.M.D., P.C.
• Christine Miller, LMHC
• Crystal Miller
• Norma Yesenia Molina-Chavez
• Lori Ann Mondragon-Lopez
• Melisia Lee Montano, CPSW
• Corrina A Montowine
• Sherie Ann Montoya CSW, CSW

• Internal Medicine Physician in Espanola, NM
• Providers in Espanola, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.