Provider Demographics
NPI:1477781730
Name:SUNSHINE PEDIATRICS
Entity Type:Organization
Organization Name:SUNSHINE PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDHWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-232-9773
Mailing Address - Street 1:17510 W GRAND PKWY S
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2645
Mailing Address - Country:US
Mailing Address - Phone:281-232-9772
Mailing Address - Fax:281-232-3885
Practice Address - Street 1:17510 W GRAND PKWY S
Practice Address - Street 2:SUITE 410
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2645
Practice Address - Country:US
Practice Address - Phone:281-232-9772
Practice Address - Fax:281-232-3885
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN URGENT HEALTH CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty