MEDICARE: SUNSHINE MEDICAL CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	261QP2300X	Primary Care Clinic/Center
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1477263317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE MEDICAL CARE PLLC

Provider Business Mailing Address
First Line	:	2311 N MESA ST STE H
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3575
Country	:	US
Telephone Number	:	915-479-0840
Fax Number	:

Provider Business Practice Location Address
First Line	:	5555 N MESA ST STE 400
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-5424
Country	:	US
Telephone Number	:	915-320-9476
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	NAHID VANDSHEKARI
Credential	:	MD
Telephone Number	:	915-320-9476

Provider Enumeration Date	:	12/01/2022
Last Update Date	:	08/20/2024

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