Provider Demographics
NPI:1710299813
Name:SACHDEV, NIDHEE MATHUR (MD)
Entity type:Individual
Prefix:
First Name:NIDHEE
Middle Name:MATHUR
Last Name:SACHDEV
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:NIDHEE
Other - Middle Name:
Other - Last Name:MATHUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:24541 PACIFIC PARK DR STE 109
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3050
Mailing Address - Country:US
Mailing Address - Phone:949-848-4500
Mailing Address - Fax:949-848-4501
Practice Address - Street 1:24541 PACIFIC PARK DR STE 109
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-3050
Practice Address - Country:US
Practice Address - Phone:949-848-4500
Practice Address - Fax:949-848-4501
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILAU3890402207V00000X
CAA148947207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology