Provider Demographics
NPI:1578561858
Name:SACHDEV, RANJAN (MD)
Entity Type:Individual
Prefix:
First Name:RANJAN
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 1:3735 EASTON NAZARETH HWY STE 302A
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8347
Mailing Address - Country:US
Mailing Address - Phone:610-515-9994
Mailing Address - Fax:610-515-9997
Practice Address - Street 1:3735 EASTON NAZARETH HWY STE 302A
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8347
Practice Address - Country:US
Practice Address - Phone:610-515-9994
Practice Address - Fax:610-515-9997
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025852E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011265710001Medicaid
C33728Medicare UPIN
PA0011265710001Medicaid
PA417875LPBMedicare PIN