Provider Demographics
NPI:1831511088
Name:SUNFLOWER PEDIATRICS, PC
Entity type:Organization
Organization Name:SUNFLOWER PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-988-4467
Mailing Address - Street 1:12500 W 58TH AVE
Mailing Address - Street 2:SUITE 233
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1103
Mailing Address - Country:US
Mailing Address - Phone:720-536-5282
Mailing Address - Fax:720-596-4364
Practice Address - Street 1:7917 S SETTLERS DR
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-2812
Practice Address - Country:US
Practice Address - Phone:720-898-9586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41871208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty