Provider Demographics
NPI:1528084712
Name:SACHDEV, MADHU S (MD)
Entity type:Individual
Prefix:MRS
First Name:MADHU
Middle Name:S
Last Name:SACHDEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:322 E CECIL AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-4012
Mailing Address - Country:US
Mailing Address - Phone:410-287-5570
Mailing Address - Fax:410-287-5123
Practice Address - Street 1:322 E CECIL AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:NORTH EAST
Practice Address - State:MD
Practice Address - Zip Code:21901-4012
Practice Address - Country:US
Practice Address - Phone:410-287-5570
Practice Address - Fax:410-287-5123
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0026183207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000195601Medicaid
MD001451600Medicaid
MDKP83LC86Medicare ID - Type Unspecified
DE000195601Medicaid
MD001451600Medicaid