Provider Demographics
NPI:1801156880
Name:MIRCHANDANI, NEHA (MD)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:
Last Name:MIRCHANDANI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:101 NICOLLS ROAD
Mailing Address - Street 2:DEPARTMENT OF NEUROLOGY
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-7097
Mailing Address - Country:US
Mailing Address - Phone:631-444-7878
Mailing Address - Fax:631-632-2451
Practice Address - Street 1:15031 RINALDI ST
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1207
Practice Address - Country:US
Practice Address - Phone:818-361-0917
Practice Address - Fax:818-361-1606
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2021-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1420812084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology