Provider Demographics
NPI:1700884509
Name:SACHDEV, ATUL (MD PA)
Entity Type:Individual
Prefix:DR
First Name:ATUL
Middle Name:
Last Name:SACHDEV
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4002 GARTH RD
Mailing Address - Street 2:STE 100
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3182
Mailing Address - Country:US
Mailing Address - Phone:281-428-4411
Mailing Address - Fax:281-428-4384
Practice Address - Street 1:4301 GARTH RD
Practice Address - Street 2:STE 200
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3153
Practice Address - Country:US
Practice Address - Phone:281-428-4411
Practice Address - Fax:281-428-4384
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK1294207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AW400OtherBCBS
TX159978901Medicaid
TXG78103Medicare UPIN
TX159978901Medicaid