Provider Demographics
NPI:1487834701
Name:ATUL SACHDEV, M.D., PA
Entity Type:Organization
Organization Name:ATUL SACHDEV, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ATUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SACHDEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:281-428-4411
Mailing Address - Street 1:4301 GARTH RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3153
Mailing Address - Country:US
Mailing Address - Phone:281-428-4411
Mailing Address - Fax:281-428-4384
Practice Address - Street 1:4301 GARTH RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3153
Practice Address - Country:US
Practice Address - Phone:281-428-4411
Practice Address - Fax:281-428-4384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1294173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0048KCOtherBCBS
TX159978901Medicaid
TX159978901Medicaid
TX0048KCOtherBCBS