Provider Demographics
NPI:1821241498
Name:SARATHCHANDRA, SHARLENE PERSAUD (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARLENE
Middle Name:PERSAUD
Last Name:SARATHCHANDRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SHARLENE
Other - Middle Name:NANDA
Other - Last Name:PERSAUD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:1707 N FAIR OAKS AVE
Mailing Address - Street 2:UNIT 109
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-1667
Mailing Address - Country:US
Mailing Address - Phone:818-433-2541
Mailing Address - Fax:
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:818-375-2809
Practice Address - Fax:818-947-1130
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62642390200000X
CA20A 11043207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program