Provider Demographics
NPI:1114221512
Name:NOOR SACHDEV
Entity Type:Organization
Organization Name:NOOR SACHDEV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:S
Authorized Official - Last Name:SACHDEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-356-9029
Mailing Address - Street 1:2577 SAMARITAN DR
Mailing Address - Street 2:SUITE #840
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4100
Mailing Address - Country:US
Mailing Address - Phone:408-356-9029
Mailing Address - Fax:408-356-1044
Practice Address - Street 1:2577 SAMARITAN DR
Practice Address - Street 2:SUITE #840
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4100
Practice Address - Country:US
Practice Address - Phone:408-356-9029
Practice Address - Fax:408-356-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1048452084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABU858AMedicare PIN