Healthcare Provider Details

I. General information

NPI: 1124946082
Provider Name (Legal Business Name): SUNSHINE HEALTH PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7130 N ACADEMY BLVD
COLORADO SPRINGS CO
80920-3185
US

IV. Provider business mailing address

PO BOX 5943
VIRGINIA BEACH VA
23471-0943
US

V. Phone/Fax

Practice location:
  • Phone: 719-762-1510
  • Fax: 719-762-1520
Mailing address:
  • Phone: 970-341-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SANDEEP PANDITTA
Title or Position: PRESIDENT
Credential:
Phone: 970-609-2001