Healthcare Provider Details

I. General information

NPI: 1689839854
Provider Name (Legal Business Name): SUNITA KAUR SAINI M.D., F.A.A.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2008
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 SCENIC DR
MODESTO CA
95350-6131
US

IV. Provider business mailing address

PO BOX 577197
MODESTO CA
95357-7197
US

V. Phone/Fax

Practice location:
  • Phone: 209-585-8400
  • Fax: 209-558-8443
Mailing address:
  • Phone: 209-558-7248
  • Fax: 209-558-8723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.082670
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code193200000X
TaxonomyMulti-Specialty Group
License NumberC532582
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: