Provider Demographics
NPI:1043414634
Name:SRA, KARAN KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:KARAN
Middle Name:KAUR
Last Name:SRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N TEXAS AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4967
Mailing Address - Country:US
Mailing Address - Phone:346-406-1846
Mailing Address - Fax:346-406-1786
Practice Address - Street 1:202 N TEXAS AVE STE 300
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4967
Practice Address - Country:US
Practice Address - Phone:346-406-1846
Practice Address - Fax:346-406-1786
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9916207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology