Provider Demographics
NPI:1821036435
Name:MANOCHA, SACHIDA NAND (MD)
Entity Type:Individual
Prefix:DR
First Name:SACHIDA
Middle Name:NAND
Last Name:MANOCHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SACHIT
Other - Middle Name:N
Other - Last Name:MANOCHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8341 SOMERSET WAY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8889
Mailing Address - Country:US
Mailing Address - Phone:614-262-7246
Mailing Address - Fax:614-262-4699
Practice Address - Street 1:78 MESSIMER DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-3627
Practice Address - Country:US
Practice Address - Phone:614-262-7246
Practice Address - Fax:614-262-4699
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-082815207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH612459400OtherFEDERAL WORKERS
OH2581184Medicaid
OH000000392178OtherANTHEM
OHPOO384899OtherRRMEDICARE
OH010839259027OtherCARESOURCE
OH2581184Medicaid
OHI 33414Medicare UPIN
OH6146160001Medicare NSC