Manju Sachdev, MD, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K6704 Issued in TX

Legal business name

MANJU SACHDEV, MD, PA

Practice address

1908 N Laurent St Ste 100
Victoria, TX 77901-5458

Phone

(361) 575-5439

Fax

(361) 576-4219

NPI assigned

Dec 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manju Sachdev, MD

Title

Owner

Phone

(361) 576-3680

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1336323203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3468",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033468",
            "telephone_number": "361-576-3680",
            "fax_number": "361-576-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N LAURENT ST STE 100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015458",
            "telephone_number": "361-575-5439",
            "fax_number": "361-576-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJU SACHDEV, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "SACHDEV",
        "authorized_official_first_name": "MANJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-576-3680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shelby Lyn Maraggia

• Pediatrics Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.