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Organization

SUNNYSIDE PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANA DE AGUIAR MD (OWNER)
(504) 455-8887
Entity
Organization

Contact information

Practice address
4420 CONLIN ST STE 205, METAIRIE, LA 70006-2167
(504) 455-8887
Mailing address
4420 CONLIN ST STE 205, METAIRIE, LA 70006-2167

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201033
LA
208000000X
Pediatrics Physician
15344R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1173525
LA
Enumeration date
02/16/2007
Last updated
09/11/2025
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