Provider Demographics
NPI:1508095209
Name:COORG, ROHINI KUSUM (MD)
Entity Type:Individual
Prefix:DR
First Name:ROHINI
Middle Name:KUSUM
Last Name:COORG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6701 FANNIN ST
Mailing Address - Street 2:SUITE 1250
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2608
Mailing Address - Country:US
Mailing Address - Phone:832-822-1750
Mailing Address - Fax:832-825-1717
Practice Address - Street 1:6701 FANNIN ST
Practice Address - Street 2:SUITE 1250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2608
Practice Address - Country:US
Practice Address - Phone:832-822-1750
Practice Address - Fax:832-825-1717
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2014-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20130212442084N0402X
TXP9177208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology