Healthcare Provider Details

I. General information

NPI: 1104125806
Provider Name (Legal Business Name): SARAH LILLIAN PACHTMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH L PACHTMAN-SHETTY M.D.

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 N 3RD ST
PHOENIX AZ
85004-1153
US

IV. Provider business mailing address

2620 N 3RD ST
PHOENIX AZ
85004-1153
US

V. Phone/Fax

Practice location:
  • Phone: 480-756-6000
  • Fax: 855-636-8770
Mailing address:
  • Phone: 480-756-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number80385
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: