Healthcare Provider Details

I. General information

NPI: 1730496274
Provider Name (Legal Business Name): YESSICA RAMOS SACHDEVA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2010
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 E SOUTHERN AVE SUITE 103
MESA AZ
85204-4941
US

IV. Provider business mailing address

2201 W FAIRVIEW ST STE 9
CHANDLER AZ
85224-4704
US

V. Phone/Fax

Practice location:
  • Phone: 602-569-3999
  • Fax: 480-569-3887
Mailing address:
  • Phone: 602-569-3999
  • Fax: 602-569-3887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number45975
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number45975
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: