MEDICARE: PAVAN K SACHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	66847	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2546487	OTHER	NJ	AETNA
3	2K8650	OTHER	NJ	HEALTHNET
4	P2117167	OTHER	NJ	OXFORD

General Provider Information

NPI Number	:	1417906678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAVAN K SACHAN M.D.

Provider Business Mailing Address
First Line	:	1103 WESTFIELD AVE
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-1916
Country	:	US
Telephone Number	:	908-688-8080
Fax Number	:	732-381-1101

Provider Business Practice Location Address
First Line	:	1103 WESTFIELD AVE
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-1916
Country	:	US
Telephone Number	:	908-688-8080
Fax Number	:	732-381-1101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	06/02/2026

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