Provider Demographics
NPI:1871676452
Name:CHHEDA, SADHANA (MD)
Entity Type:Individual
Prefix:
First Name:SADHANA
Middle Name:
Last Name:CHHEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:104 CAMINO PENASCO
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3438
Mailing Address - Country:US
Mailing Address - Phone:915-581-6680
Mailing Address - Fax:915-584-3509
Practice Address - Street 1:1900 N OREGON ST
Practice Address - Street 2:SUITE 312
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3351
Practice Address - Country:US
Practice Address - Phone:915-542-0755
Practice Address - Fax:915-542-0744
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ40412080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP082390F7Medicaid
TXP082390F7Medicaid