Provider Demographics
NPI:1952902512
Name:SACHDEV, JYOTI ANIRUDH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JYOTI
Middle Name:ANIRUDH
Last Name:SACHDEV
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13249 MIDDLETON FARM LN
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20171-3850
Mailing Address - Country:US
Mailing Address - Phone:703-868-6235
Mailing Address - Fax:
Practice Address - Street 1:45425 DULLES CROSSING PLZ
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-8921
Practice Address - Country:US
Practice Address - Phone:571-434-8723
Practice Address - Fax:571-434-8726
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202013123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist