Organization
PHYSICIANS FOR CHILDREN & ADOLESCENTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH SACHDEVA MD (PEDIATRICIAN)
(606) 432-0123
Entity
Organization
Contact information
Practice address
1330 SOUTH MAYO TRAIL, SUITE 201, PIKEVILLE, KY 41501
(606) 432-0123
(606) 433-1414
Mailing address
PO BOX 3339, 1330 SOUTH MAYO TRAIL, SUITE 201, PIKEVILLE, KY 41502
(606) 432-0123
(606) 433-1414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65917957
—
KY
05
—
7100405970
—
KY
Enumeration date
08/24/2006
Last updated
08/14/2018
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