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NPI Code Detail

MEDICARE: RICHARD ANTHONY SACHITANO M.D.

MEDICARE: RICHARD ANTHONY SACHITANO M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician17337LA

Other Identifiers

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

General Provider Information

NPI Number : 1790834794
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ANTHONY SACHITANO M.D.
Provider Business Mailing Address
First Line : 1721 SWAN DR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-5261
Country : US
Telephone Number : 337-474-7741
Fax Number : 337-494-6466
Provider Business Practice Location Address
First Line : 1910 OAK PARK BLVD
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-8916
Country : US
Telephone Number : 337-494-3187
Fax Number : 337-494-3187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 07/08/2007

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