Provider Demographics
NPI:1912232513
Name:PEJAVAR, SUNANDA M (MD)
Entity Type:Individual
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First Name:SUNANDA
Middle Name:M
Last Name:PEJAVAR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5725 KEARNY VILLA ROAD
Mailing Address - Street 2:SUITE I
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-256-0351
Mailing Address - Fax:858-256-0355
Practice Address - Street 1:3075 HEALTH CENTER DRIVE
Practice Address - Street 2:LEVEL 0
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-939-5010
Practice Address - Fax:858-939-5021
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2020-01-23
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Provider Licenses
StateLicense IDTaxonomies
CAA1037332085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology