Provider Demographics
NPI:1982921607
Name:NAVEEN SACHDEV MD INC
Entity Type:Organization
Organization Name:NAVEEN SACHDEV MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SACHDEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-297-8640
Mailing Address - Street 1:9155 SW BARNES RD STE 417
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6631
Mailing Address - Country:US
Mailing Address - Phone:503-297-8640
Mailing Address - Fax:503-297-5715
Practice Address - Street 1:9155 SW BARNES RD STE 417
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6631
Practice Address - Country:US
Practice Address - Phone:503-297-8640
Practice Address - Fax:503-297-5715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD14129261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR079004Medicaid
ORMD14129OtherLICENSE
ORMD14129OtherLICENSE
ORR0000BHZQSMedicare PIN