Individual
DR. DIVYA MIRCHANDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6431 FANNIN ST STE JJL 431, HOUSTON, TX 77030
(713) 500-7878
(713) 500-0758
Mailing address
6431 FANNIN STREET, SUITE JJL 341, HOUSTON, TX 77030-3609
(713) 500-7412
(713) 500-0758
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R3383
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
R3383
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2014
Last updated
05/29/2018
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