Provider Demographics
NPI:1932692779
Name:SACHS, PANYADA
Entity Type:Individual
Prefix:
First Name:PANYADA
Middle Name:
Last Name:SACHS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 WALDEMERE ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2129
Mailing Address - Country:US
Mailing Address - Phone:941-724-1312
Mailing Address - Fax:
Practice Address - Street 1:1751 MOUND ST STE 206-17
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7763
Practice Address - Country:US
Practice Address - Phone:941-724-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3831171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist