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NPI 1487834701

NPI 1487834701 : ATUL SACHDEV, M.D., PA : BAYTOWN, TX

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General NPI Number Information
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    NPI Number           |    1487834701
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATUL SACHDEV, M.D., PA 
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Dates
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    Enumeration Date     |    11/05/2007
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    Last Update Date     |    06/28/2010
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Provider Practice Location Address
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    Address Line         |    4301 GARTH RD SUITE 200
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    City                 |    BAYTOWN
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    State                |    TX
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    Zip                  |    77521-3153
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    Country              |    US
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    Telephone            |    281-428-4411
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    Fax                  |    281-428-4384
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Provider Business Mailing Address
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    Address Line         |    4301 GARTH RD SUITE 200
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    City                 |    BAYTOWN
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    State                |    TX
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    Zip                  |    77521-3153
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    Country              |    US
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    Telephone            |    281-428-4411
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    Fax                  |    281-428-4384
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Authorized Official
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    Title or Position    |    MEDICAL DOCTOR
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    Name                 |    DR. ATUL  SACHDEV 
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    Credential           |    MD PA
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    Telephone            |    281-428-4411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    173000000X
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    Taxonomy Name        |    Legal Medicine
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    License Number       |    K1294
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    License Number State |    TX
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