Provider Demographics
NPI:1033357835
Name:SACHDEV, HARKANWAL
Entity Type:Individual
Prefix:DR
First Name:HARKANWAL
Middle Name:
Last Name:SACHDEV
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:HARKANWAL
Other - Middle Name:
Other - Last Name:SACHDEV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1850 N CENTRAL AVE
Mailing Address - Street 2:1600
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-4527
Mailing Address - Country:US
Mailing Address - Phone:602-262-8900
Mailing Address - Fax:602-262-8890
Practice Address - Street 1:1850 N. CENTRAL AVE., STE 1600
Practice Address - Street 2:VALLEY ANESTHESIOLOGY CONSULTANTS, LTD.
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004
Practice Address - Country:US
Practice Address - Phone:602-262-8917
Practice Address - Fax:602-262-8890
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AZ45016207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ648675Medicaid
Z148140Medicare PIN