Vinod Kumar Sachdeva, M.D.
Individual provider Active NPI Adolescent Medicine (Family Medicine) Physician · Unadilla, GA
NPI 1366645699 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1366645699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adolescent Medicine (Family Medicine) Physician 207QA0000X
- License
- 046319 (GA)
- Practice address
- 1412 Plunkett Rd.
Dooly SP
Unadilla, GA 31091 - Phone
- (478) 627-2120
- Fax
- (478) 627-9427
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046319 | GA | MD | Adolescent Medicine (Family Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 046319 | GA | Yes |
Addresses
Primary practice location
1412 Plunkett Rd.
Dooly SP
Unadilla, GA 31091
Mailing address
3830 Spalding Bluff Dr
Norcross, GA 30092-2300
Phone (478) 627-2120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046319 | Other | GA | STATE LICENSE |
Other providers in Unadilla, GA
- Malozera Primary Care, LLC
- Laquish Denise Martin
- Bianca Lester McBurse
- McMahan Pharmacy, Inc
- Dhara Patel
- Melissa Averett Smith
- Stephen R. Byrd, D.D.S.,P.C.
- Taylor Regional Hospital
- Taylor Regional Hospital
- Unadilla Drug Company Inc
All providers in Unadilla, GA · Adolescent Medicine (Family Medicine) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.