Provider Demographics
NPI:1629118468
Name:SINHA, SACHCHIDA N (MD)
Entity Type:Individual
Prefix:DR
First Name:SACHCHIDA
Middle Name:N
Last Name:SINHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12005 HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4001
Mailing Address - Country:US
Mailing Address - Phone:714-783-6330
Mailing Address - Fax:714-970-0730
Practice Address - Street 1:12005 HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4001
Practice Address - Country:US
Practice Address - Phone:714-783-6330
Practice Address - Fax:714-970-0730
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39988207R00000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABO04789Medicare UPIN