Provider Demographics
NPI:1285821231
Name:SACHDEV, SUKH RACHNA
Entity Type:Individual
Prefix:
First Name:SUKH RACHNA
Middle Name:
Last Name:SACHDEV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4057 OLD WILLIAM PENN HWY
Mailing Address - Street 2:RAVI BALU
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668
Mailing Address - Country:US
Mailing Address - Phone:724-733-8743
Mailing Address - Fax:724-733-8708
Practice Address - Street 1:4057 OLD WILLIAM PENN HWY
Practice Address - Street 2:RAVI BALU
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668
Practice Address - Country:US
Practice Address - Phone:724-733-8743
Practice Address - Fax:724-733-8708
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031148L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice