Sunshine Medical Group Pllc

LBN: Sunshine Medical Group Pllc
Sunshine Medical Group Pllc is an health care organization with primary practice located at 1600 N Grand Ave Suite 120, Pueblo CO 81003-2700. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Sunshine Medical Group Pllc can be contacted via phone (719) 545-9292, or through Kedlaya, Indira via phone (719) 545-9292.

Contact Information

Primary practice address
1600 N Grand Ave Suite 120 Pueblo CO 81003-2700
Phone: (719) 545-9292
Fax: (719) 545-9191
Website:
Map and Directions
Authorized official contact:
Name: Kedlaya, Indira Doctor of Medicine (MD)
Phone: (719) 545-9292

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44387 Colorado
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 44387 Colorado

Profile Details

NPI number 1770788770
LBN Legal business name Sunshine Medical Group Pllc
DBA Doing business as
Authorized official Kedlaya, Indira Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2007
Last updated Jan 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770788770 NPPES
Other PE2582 RR MEDICARE
MEDICAID 73637556 RR MEDICARE

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