Provider Demographics
NPI:1275624660
Name:SACHDEV, RAJVEER (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJVEER
Middle Name:
Last Name:SACHDEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GRAND STREET, 3RD FL
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1035
Mailing Address - Country:US
Mailing Address - Phone:845-589-0664
Mailing Address - Fax:845-987-5979
Practice Address - Street 1:6 MEDICAL PARK DR
Practice Address - Street 2:SUITE 4
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3525
Practice Address - Country:US
Practice Address - Phone:845-290-6777
Practice Address - Fax:845-290-6776
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA8125400207Q00000X
NY251034207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03248088Medicaid