Healthcare Provider Details

I. General information

NPI: 1780573162
Provider Name (Legal Business Name): SUNNYVALE MEDICAL PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 FEDERAL ST
PITTSBURGH PA
15212-4706
US

IV. Provider business mailing address

1314 FEDERAL ST
PITTSBURGH PA
15212-4706
US

V. Phone/Fax

Practice location:
  • Phone: 215-608-8937
  • Fax:
Mailing address:
  • Phone: 215-608-8937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANULI MKPARU
Title or Position: CEO
Credential: MD
Phone: 215-608-8937