MEDICARE: REKHA SACHDEVA M.D; A PROFESSINAL CORPORATION.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	C42951	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255582094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REKHA SACHDEVA M.D; A PROFESSINAL CORPORATION.

Provider Business Mailing Address
First Line	:	3229 SANTA ANITA AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91733-1359
Country	:	US
Telephone Number	:	626-459-5420
Fax Number	:	626-444-4511

Provider Business Practice Location Address
First Line	:	3229 SANTA ANITA AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91733-1359
Country	:	US
Telephone Number	:	626-459-5420
Fax Number	:	626-444-4511

Authorized Official
Title or Position	:	OWNER
Name	:	REKHA SACHDEVA
Credential	:	M.D
Telephone Number	:	626-459-5420

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	02/24/2011

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