Provider Demographics
NPI:1073612172
Name:SACHDEV, BHARTI (MD)
Entity Type:Individual
Prefix:MRS
First Name:BHARTI
Middle Name:
Last Name:SACHDEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:BHARTI
Other - Middle Name:
Other - Last Name:GUPTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:766 W MICHIGAN AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201
Mailing Address - Country:US
Mailing Address - Phone:517-784-9910
Mailing Address - Fax:517-787-4404
Practice Address - Street 1:766 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201
Practice Address - Country:US
Practice Address - Phone:517-784-9910
Practice Address - Fax:517-787-4404
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBS063525207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3386776Medicaid
MI0420053OtherPHP
MI1103801422OtherBCBS
MI5940397OtherAETNA
MI0420053OtherPHP
MI3386776Medicaid