Healthcare Provider Details

I. General information

NPI: 1598994659
Provider Name (Legal Business Name): SHYLA N SACHDEV MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHYLA NARASIMHAN GOWDA

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 QUEENS RD STE 330
CHARLOTTE NC
28204-3419
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-384-5043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number286506
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2026-03122
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: