Provider Demographics
NPI:1962898106
Name:MANCHANDA, KSHITIJ (MD)
Entity type:Individual
Prefix:DR
First Name:KSHITIJ
Middle Name:
Last Name:MANCHANDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5631 LAGUNA DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-3393
Mailing Address - Country:US
Mailing Address - Phone:469-682-5260
Mailing Address - Fax:
Practice Address - Street 1:5757 WARREN PARKWAY
Practice Address - Street 2:PROFESSIONAL OFFICE BUILDING II, SUITE 180
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:214-618-5502
Practice Address - Fax:214-618-5503
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS2107207XX0004X
FLME145325207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery