Provider Demographics
NPI:1487867669
Name:SENAN, SACHIN CHANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SACHIN
Middle Name:CHANDRA
Last Name:SENAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SACHIN
Other - Middle Name:
Other - Last Name:CHANDRASENAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 130385
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-0385
Mailing Address - Country:US
Mailing Address - Phone:281-569-5415
Mailing Address - Fax:281-569-5418
Practice Address - Street 1:129 VISION PARK BLVD STE 205
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3024
Practice Address - Country:US
Practice Address - Phone:281-825-3344
Practice Address - Fax:281-825-3340
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6212207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine