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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHARISA NUR RACHMASARI, M.D.

Deactivated

KHARISA NUR RACHMASARI, M.D. is a Endocrinology, Diabetes & Metabolism healthcare provider located in LA CROSSE, Wisconsin. NPI 1225525215 is deactivated in the NPPES registry. Verify at CMS.

Endocrinology, Diabetes & Metabolism · LA CROSSE, WI

This NPI has been deactivated. The record was deactivated on November 28, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1225525215
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2018 (0.61917808219178 yrs)
Last Updated
Jun 27, 2024
Deactivated
Nov 28, 2018
Licenses
69190 (MN)
82656 (WI)

Practice Information

Address
700 WEST AVENUE S
LA CROSSE, WI, 546018806
Browse WI providers · Browse ZIP 54601
Phone
6087850940
Primary Specialty
Endocrinology, Diabetes & Metabolism
207RE0101X

Other Endocrinology, Diabetes & Metabolism Providers in LA CROSSE, WI

Name Credential NPI
ARNOLD A ASP MD 1700888922
GREGORY B PEHLING MD 1871595116
RICHARD H REYNERTSON MD 1093717050
DANIEL K SHORT MD 1376547257
JANE M KORDUCKI MD 1356339535
MARY K FROHNAUER MD 1013018704
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.