Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 018588 | CT |
N | 207RI0011X | Interventional Cardiology | 018588 | CT |
NPI | 1124087655 |
---|---|
Provider Name | Dr. Chandra K. Sacheti |
First Address | Vernon, CT 06066 |
Second Address | Vernon, CT 06066-2311 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 19/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001185883 | (05) | CT |
1124087655 | (02) | CT |
B84366 | (02) | CT |