Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 25MA03962600 | NJ |
NPI | 1043232556 |
---|---|
Provider Name | Rajesh Sachdeo |
First Address | East Windsor, NJ 08512-2549 |
Second Address | Somerset, NJ 08873-5002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 27/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
221965413 | TAX ID (01) | NJ |
C56769 | (02) | NJ |