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SUNSHINE MEDICAL GROUP PLLC NPI 1770788770


NPI Information

NPI: 1770788770
Provider Name: SUNSHINE MEDICAL GROUP PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1600 N GRAND AVE
SUITE 120
PUEBLO, CO
ZIP 81003
Phone: (719) 545-9292
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SUNSHINE MEDICAL GROUP PLLC is an internal medicine in Pueblo, CO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SUNSHINE MEDICAL GROUP PLLC NPI is 1770788770. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1600 N GRAND AVE
SUITE 120
PUEBLO, CO
ZIP 81003-700
Phone: (719) 545-9292
Fax: (719) 545-9191

The provider's authorized official is Indira Kedlaya .
The authorized official title is Owner Physician and has the following contact phone number (719) 545-9292.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 1/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine44387COLORADONo
2207R00000XInternal Medicine44387COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PE2582OTHERRR MEDICARE
2C808622MEDICARE PINCOLORADO
3H56429MEDICARE UPINCOLORADO
473637556MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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