Healthcare Provider Details

I. General information

NPI: 1184889107
Provider Name (Legal Business Name): KAMAL KUMAR SACHDEVA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2008
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 STANAFORD RD
BECKLEY WV
25801-3140
US

IV. Provider business mailing address

250 STANAFORD RD
BECKLEY WV
25801-3140
US

V. Phone/Fax

Practice location:
  • Phone: 304-254-2820
  • Fax: 304-254-2821
Mailing address:
  • Phone: 304-254-2820
  • Fax: 304-254-2821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25195
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25195
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: