Provider Demographics
NPI:1346272564
Name:SACHDEVA, NAMITA S (MD)
Entity Type:Individual
Prefix:DR
First Name:NAMITA
Middle Name:S
Last Name:SACHDEVA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9401 W THUNDERBIRD RD
Mailing Address - Street 2:#155
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4233
Mailing Address - Country:US
Mailing Address - Phone:623-249-2100
Mailing Address - Fax:623-476-7305
Practice Address - Street 1:9401 W THUNDERBIRD RD
Practice Address - Street 2:#155
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4233
Practice Address - Country:US
Practice Address - Phone:623-249-2100
Practice Address - Fax:623-476-7305
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2014-07-30
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Provider Licenses
StateLicense IDTaxonomies
AZ35412207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ119610Medicaid