MEDICARE: USHA SACHDEV M D INC

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	207RP1001X	Pulmonary Disease Physician
2	2084P0800X	Psychiatry Physician

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

General Provider Information

NPI Number	:	1992803621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USHA SACHDEV M D INC

Provider Business Mailing Address
First Line	:	3100 FLINTRIDGE DR
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92835-1402
Country	:	US
Telephone Number	:	909-865-2933
Fax Number	:	909-865-6223

Provider Business Practice Location Address
First Line	:	1818 N ORANGE GROVE AVE
Second Line	:	STE 202
City	:	POMONA
State	:	CA
Zip	:	91767-3028
Country	:	US
Telephone Number	:	909-865-2933
Fax Number	:	909-865-6223

Authorized Official
Title or Position	:	OWNER
Name	:	USHA SACHDEV
Credential	:	MD
Telephone Number	:	909-865-2933

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	06/02/2009

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Directions to “USHA SACHDEV M D INC ” Practice Location

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