Provider Demographics
NPI:1770706632
Name:SACHDEV, JASGIT C (MD)
Entity type:Individual
Prefix:DR
First Name:JASGIT
Middle Name:C
Last Name:SACHDEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JASGIT
Other - Middle Name:
Other - Last Name:CHUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1931 E BRENTRUP DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-4926
Mailing Address - Country:US
Mailing Address - Phone:901-605-6652
Mailing Address - Fax:901-722-0466
Practice Address - Street 1:1931 E BRENTRUP DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-4926
Practice Address - Country:US
Practice Address - Phone:901-605-6652
Practice Address - Fax:901-722-0466
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN42299207RH0003X
MS19926207RH0003X
ARE5893207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1518165729OtherBCBS AR
TN3000220Medicaid
TN4155973OtherBCBS TN
9650268OtherCIGNA
MS00157075Medicaid
AR165143001Medicaid
9164065OtherAETNA
9650268OtherCIGNA
MS00157075Medicaid
TN3000220Medicare PIN
MS512I830002Medicare PIN