Provider Demographics
NPI:1003932609
Name:SACHDEVA, RAKESH K (RPT)
Entity Type:Individual
Prefix:
First Name:RAKESH
Middle Name:K
Last Name:SACHDEVA
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 S ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2736
Mailing Address - Country:US
Mailing Address - Phone:248-652-9740
Mailing Address - Fax:248-651-5394
Practice Address - Street 1:586 S ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2736
Practice Address - Country:US
Practice Address - Phone:248-652-9740
Practice Address - Fax:248-651-5394
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist