Individual provider · NPI-1

Rajan K Mirchandani, MD

Internal Medicine · Espanola, NM

NPI number1295829679
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1295829679
Entity type
Individual (NPI-1)
Name
Rajan K Mirchandani
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2000328NMYes

Practice location

1010 Spruce St
Espanola Hospital Pmg Clinic
Espanola, NM 87532-2724

Phone 505-367-0340 · Fax 505-367-4470

Mailing address

Po Box 26666
Phs Provider Enrollment
Albuquerque, NM 87125-6666

Phone 505-923-5356 · Fax 505-923-5354

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Espanola, NM