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

SURURAT A COULIBALY, PA-C

Active

SURURAT A COULIBALY, PA-C is a Medical Physician Assistant healthcare provider located in LAS VEGAS, Nevada. NPI 1235427816 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LAS VEGAS, NV

Registration Details

NPI Number
1235427816
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2011 (14.894752883048 yrs)
Last Updated
Nov 2, 2021
Licenses
PA21484 (CA)
PA1271 (NV)

Practice Information

Address
630 S RANCHO DR STE E
LAS VEGAS, NV, 891064849
Browse NV providers · Browse ZIP 89106
Phone
7022581001
Fax
7022583455
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LAS VEGAS, NV

Name Credential NPI
MR. FREDERICK BLANCHARD BOWLES PA-C 1265435051
MICHAEL SALVATORE FESTENESE P.A.C. 1043217581
MR. MICHAEL FRANCIS FISHER PA 1629076237
JESSE JAMES HARVEY P.A. 1942209119
KEVIN JOSEPH THORN PA-C 1407856982
MR. MICHAEL J. SULLIVAN M.S., P.A.-C 1821098104
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.