Provider Demographics
NPI:1124315551
Name:MIRCHANDANI, ROSHNI GANDHI (MD)
Entity type:Individual
Prefix:
First Name:ROSHNI
Middle Name:GANDHI
Last Name:MIRCHANDANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROSHNI
Other - Middle Name:
Other - Last Name:GANDHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6255 W SUNSET BLVD FL 21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7422
Mailing Address - Country:US
Mailing Address - Phone:323-860-5200
Mailing Address - Fax:234-677-1193
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:STE B-122
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:972-383-1060
Practice Address - Fax:972-383-1061
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3327207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease