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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770788770 | NPPES |
| Other | PE2582 | RR MEDICARE | |
| MEDICAID | 73637556 | RR MEDICARE |
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