Provider Demographics
NPI:1104893551
Name:SACHDEV, JATINDER KAUR (MD)
Entity type:Individual
Prefix:
First Name:JATINDER
Middle Name:KAUR
Last Name:SACHDEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2147 RIVERCHASE OFFICE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1836
Mailing Address - Country:US
Mailing Address - Phone:205-403-8902
Mailing Address - Fax:205-982-0278
Practice Address - Street 1:8151 WHITESBURG DR
Practice Address - Street 2:AMERICAN FAMILY CARE INC
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802
Practice Address - Country:US
Practice Address - Phone:256-882-9711
Practice Address - Fax:256-882-0649
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12995207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051516844OtherBLUE CROSS BLUE SHIELD
AL009955885Medicaid
ALDD0026145Medicare ID - Type Unspecified
AL000026145Medicare PIN
C72775Medicare UPIN