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

SAMMANTHA JEANE KOUBA, DO

Active Sole Proprietor

SAMMANTHA JEANE KOUBA, DO is a Infectious Disease healthcare provider located in FARGO, North Dakota. NPI 1760877344 is currently active in the NPPES registry. Verify at CMS.

Infectious Disease · FARGO, ND

Registration Details

NPI Number
1760877344
Provider Type
Individual
Gender
Female
NPI Issued
Apr 1, 2015 (11.35343193375 yrs)
Last Updated
Apr 19, 2022
Licenses
DO-05366 (IA)
PG172349 (OR)
16710 (ND)
Sole Proprietor
Yes

Practice Information

Address
5225 23RD AVE S
FARGO, ND, 581047927
Browse ND providers · Browse ZIP 58104
Phone
7014172575
Fax
7014172535
Primary Specialty
Infectious Disease
207RI0200X
Additional Specialty
Infectious Disease

Other Infectious Disease Providers in FARGO, ND

Name Credential NPI
AUGUSTO M ALONTO M.D. 1700833845
GODELA R IVERSON MD 1770513970
DR. TZE SHIEN LO MD 1285650671
PAUL JAMES CARSON MD 1013935717
ROBERT R TIGHT MD 1912929597
TIMOTHY S. BISCHOF MD 1871607945
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.