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Sunny Lalji Trambadia

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1514 Jefferson Hwy, New Orleans, LA 70121-2429

PECOS Enrollment

This provider is enrolled in PECOS as SUNNY TRAMBADIA.

Based on the most recent information from CMS, provider Sunny Lalji Trambadia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1114315355
Provider Type
Individual
Full Name
Trambadia, Sunny Lalji
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
12/22/2014
Last Updated
3/26/2015

Contact Information

Practice Location

1514 Jefferson Hwy, New Orleans, LA 70121-2429

(866) 624-7637

Unlisted Fax

Mailing Location

813 Ronson Dr, Kenner, LA 70065-2938

(504) 201-3156

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA200779 Louisiana

Provider Identifiers

ID	Description	Issuer
ID 00758354	Description Medicaid	Issuer Unlisted Mississippi
ID 2381644	Description Medicaid	Issuer Unlisted Louisiana

Sunny Lalji Trambadia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Rhinehart, Rachel B

Diebold, Erin H.

Barbagelott, Keith

Owens, Megan Blaire

Talamo, Kirt Joseph

Amadeo, Jason Paul

Broussard, Monique

Castro Gusman, Varsha

Andrepont, Tanya

Bollich, Aaron Christopher