Healthcare Provider Details

I. General information

NPI: 1699794727
Provider Name (Legal Business Name): SHEELMOHAN S SACHDEV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 NORTH ST STE 38
ELKTON MD
21921
US

IV. Provider business mailing address

322 EAST CECIL AVE STE 2
NORTH EAST MD
21901
US

V. Phone/Fax

Practice location:
  • Phone: 410-398-8300
  • Fax: 410-398-8469
Mailing address:
  • Phone: 410-287-3727
  • Fax: 410-287-2819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0023322
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberCI0001880
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: