Healthcare Provider Details

I. General information

NPI: 1407531494
Provider Name (Legal Business Name): KAJAL KRISI SACHDEV-GANDE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAJAL KRISI SACHDEV MD

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8915 W CONNELL AVE
MILWAUKEE WI
53226-3067
US

IV. Provider business mailing address

PO BOX 1997
MILWAUKEE WI
53201-1997
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-2000
  • Fax:
Mailing address:
  • Phone: 414-266-2090
  • Fax: 414-266-3157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080C0008X
TaxonomyChild Abuse Pediatrics Physician
License Number87302-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: