Provider Demographics
NPI:1629047006
Name:SACHDEV, MANJU (MD)
Entity Type:Individual
Prefix:DR
First Name:MANJU
Middle Name:
Last Name:SACHDEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 WOODLANDS LN
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3373
Mailing Address - Country:US
Mailing Address - Phone:361-571-9126
Mailing Address - Fax:
Practice Address - Street 1:6909 BRISBANE CT STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7146
Practice Address - Country:US
Practice Address - Phone:832-222-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6704208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127064702Medicaid
TX127064706Medicaid