Healthcare Provider Details

I. General information

NPI: 1700307667
Provider Name (Legal Business Name): SUNITA TIMILSINA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 PIERCE ST
SIOUX CITY IA
51104-3725
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 712-294-5000
  • Fax: 712-294-5091
Mailing address:
  • Phone: 712-294-5000
  • Fax: 712-294-5091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-48618
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberMD-48618
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: