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

Aditya Pandu Sunidja, MD

Individual provider Specialist · NPI 1861631459

Aditya Pandu Sunidja, MD is a Diagnostic Radiology in Tacoma, Washington. Graduated from Boston University School of Medicine in 2003, 23 years ago. Practices with Tra-Minw P S, a 153-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Washington.

Years since qualifying
23
Trained at
Boston University School of Medicine
Licensed in
MA, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1911
Phone: (253) 761-4200
Fax: (253) 383-3553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD60082442 (WA)
Specialist Taxonomy 174400000X · Licence 235938 (MA)

Record details

NPI number1861631459
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 5, 2009
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Tra-Minw P S — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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