Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sundara Medical LLC

Organization Multi-Specialty Clinic/Center · NPI 1720825573

Sundara Medical LLC is a Multi-Specialty Clinic/Center in Bluffdale, Utah. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14629 S Porter Rockwell Blvd
Bluffdale, UT 84065
Phone: (801) 410-1100
Fax: (801) 332-9577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1720825573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Broadhead — Dnp · (801) 410-1100
Other names Sundara Mhs
NPI enumeratedJuly 10, 2024
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address14629 S Porter Rockwell Blvd, Bluffdale, UT 84065

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