Healthcare Provider Details

I. General information

NPI: 1295997260
Provider Name (Legal Business Name): SACHIN LOGANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 N ROAD ST
ELIZABETH CITY NC
27909-3353
US

IV. Provider business mailing address

1301 EXECUTIVE BLVD STE 200
CHESAPEAKE VA
23320-3671
US

V. Phone/Fax

Practice location:
  • Phone: 757-312-4047
  • Fax: 757-410-0339
Mailing address:
  • Phone: 757-842-4481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD446247
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD446247
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2017-00237
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: