Provider Demographics
NPI:1417991704
Name:SUNSHINE PEDIATRICS LLC
Entity Type:Organization
Organization Name:SUNSHINE PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHHAYA
Authorized Official - Middle Name:SHRIKANT
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-825-1994
Mailing Address - Street 1:408 W RIDGE PIKE
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1223
Mailing Address - Country:US
Mailing Address - Phone:610-825-1994
Mailing Address - Fax:610-825-2949
Practice Address - Street 1:408 W RIDGE PIKE
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1223
Practice Address - Country:US
Practice Address - Phone:610-825-1994
Practice Address - Fax:610-825-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========OtherTAX ID NUMBER
PAE61956Medicare UPIN