Provider Demographics
NPI:1629090915
Name:SACHDEVA, CHANDER K (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANDER
Middle Name:K
Last Name:SACHDEVA
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 1:20 FOXCROFT WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-5732
Mailing Address - Country:US
Mailing Address - Phone:856-222-0229
Mailing Address - Fax:
Practice Address - Street 1:7811 MAPLE AVENUE
Practice Address - Street 2:
Practice Address - City:MERCHANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08109
Practice Address - Country:US
Practice Address - Phone:856-488-1212
Practice Address - Fax:856-488-2224
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068155-L208100000X
NJ25MA07696600208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation