Healthcare Provider Details

I. General information

NPI: 1487834701
Provider Name (Legal Business Name): ATUL SACHDEV, M.D., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 06/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 GARTH RD SUITE 200
BAYTOWN TX
77521-3153
US

IV. Provider business mailing address

4301 GARTH RD SUITE 200
BAYTOWN TX
77521-3153
US

V. Phone/Fax

Practice location:
  • Phone: 281-428-4411
  • Fax: 281-428-4384
Mailing address:
  • Phone: 281-428-4411
  • Fax: 281-428-4384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberK1294
License Number StateTX

VIII. Authorized Official

Name: DR. ATUL SACHDEV
Title or Position: MEDICAL DOCTOR
Credential: MD PA
Phone: 281-428-4411