Active NPI
Anish Mirchandani, D.O.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Prosper, TX
National Provider Identifier
1407295710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- R2173
- Practice address
- 1970 W University Dr Ste 210
Prosper, TX 75078-8134 - Phone
- (469) 757-7623
- Fax
- (469) 757-7613
- NPI assigned
- Jun 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | R2173 | TX | Primary |
Addresses
Primary practice location
1970 W University Dr Ste 210
Prosper, TX 75078-8134
Mailing address
11625 Custer Rd Ste 110-325
Frisco, TX 75035-8783
Phone (469) 757-7623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2173 | TX | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1407295710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11625 CUSTER RD STE 110-325",
"city": "FRISCO",
"state": "TX",
"postal_code": "750358783",
"telephone_number": "469-757-7623",
"fax_number": "469-757-7613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 W UNIVERSITY DR STE 210",
"city": "PROSPER",
"state": "TX",
"postal_code": "750788134",
"telephone_number": "469-757-7623",
"fax_number": "469-757-7613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRCHANDANI",
"first_name": "ANISH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-19",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "R2173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.