Provider Demographics
NPI:1689839854
Name:SAINI, SUNITA KAUR (MD, FAAP)
Entity type:Individual
Prefix:DR
First Name:SUNITA
Middle Name:KAUR
Last Name:SAINI
Suffix:
Gender:F
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 577197
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95357-7197
Mailing Address - Country:US
Mailing Address - Phone:209-558-7248
Mailing Address - Fax:209-558-8723
Practice Address - Street 1:830 SCENIC DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-6131
Practice Address - Country:US
Practice Address - Phone:209-585-8400
Practice Address - Fax:209-558-8443
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-26
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.082670208000000X
CAC532582193200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes193200000XGroupMulti-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatrics