Provider Demographics
NPI:1265441950
Name:SACHDEVA, ALKA VAISHALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ALKA
Middle Name:VAISHALI
Last Name:SACHDEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ALKA
Other - Middle Name:VAISHALI
Other - Last Name:SACHDEVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11009 INGLESIDE PL STE 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6697
Mailing Address - Country:US
Mailing Address - Phone:919-844-4344
Mailing Address - Fax:919-844-3244
Practice Address - Street 1:11009 INGLESIDE PL STE 201
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6697
Practice Address - Country:US
Practice Address - Phone:919-844-4344
Practice Address - Fax:919-844-3244
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9900339207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891227KMedicaid