Provider Demographics
NPI:1477263317
Name:SUNSHINE MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:SUNSHINE MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDSHEKARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-479-0840
Mailing Address - Street 1:2311 N MESA ST STE H
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3575
Mailing Address - Country:US
Mailing Address - Phone:915-479-0840
Mailing Address - Fax:
Practice Address - Street 1:5555 N MESA ST STE 400
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5424
Practice Address - Country:US
Practice Address - Phone:915-479-0840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care