Basic Information
Provider Information
NPI: 1689839854
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAINI
FirstName: SUNITA
MiddleName: KAUR
NamePrefix: DR.
NameSuffix:  
Credential: M.D., F.A.A.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 830 SCENIC DR
Address2:  
City: MODESTO
State: CA
PostalCode: 953506131
CountryCode: US
TelephoneNumber: 2095587248
FaxNumber: 2095588723
Practice Location
Address1: 830 SCENIC DR
Address2:  
City: MODESTO
State: CA
PostalCode: 953506131
CountryCode: US
TelephoneNumber: 2095858400
FaxNumber: 2095588443
Other Information
ProviderEnumerationDate: 07/26/2008
LastUpdateDate: 03/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X35.082670OHN Allopathic & Osteopathic PhysiciansPediatrics 
193200000XC532582CAY GroupMulti-Specialty 

No ID Information.


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