Provider Demographics
NPI:1164583282
Name:SACHDEVA, REKHA (MD,)
Entity Type:Individual
Prefix:DR
First Name:REKHA
Middle Name:
Last Name:SACHDEVA
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3236 SANTA ANITA AVE
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-1360
Mailing Address - Country:US
Mailing Address - Phone:626-459-5420
Mailing Address - Fax:626-444-4511
Practice Address - Street 1:3236 SANTA ANITA AVE
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-1360
Practice Address - Country:US
Practice Address - Phone:626-459-5420
Practice Address - Fax:626-444-4511
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC429510208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics