Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 2008020874 | MO |
Y | 207U00000X | Nuclear Medicine Specialist | E-7165 | AR |
NPI | 1194974790 |
---|---|
Provider Name | Archana Sachedina |
First Address | Little Rock, AR 72205-7101 |
Second Address | Little Rock, AR 72205-7101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 22/04/2015 |