Healthcare Provider Details

I. General information

NPI: 1427160449
Provider Name (Legal Business Name): SACHIN DHEER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 OHIO DR
NEW HYDE PARK NY
11042-1124
US

IV. Provider business mailing address

2201 CHAPEL AVE W
CHERRY HILL NJ
08002-2048
US

V. Phone/Fax

Practice location:
  • Phone: 516-222-2022
  • Fax:
Mailing address:
  • Phone: 856-488-6500
  • Fax: 856-488-6507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number25MA08101300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA08101300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: