Provider Demographics
NPI:1922007152
Name:KOURA, AARYAN NATH (MD)
Entity Type:Individual
Prefix:
First Name:AARYAN
Middle Name:NATH
Last Name:KOURA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5405
Mailing Address - Country:US
Mailing Address - Phone:916-423-2116
Mailing Address - Fax:916-689-1030
Practice Address - Street 1:7501 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 305
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5405
Practice Address - Country:US
Practice Address - Phone:916-423-2116
Practice Address - Fax:916-689-1030
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2007-08-30
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2007-08-28
Provider Licenses
StateLicense IDTaxonomies
CA00A822480208600000X, 2086S0102X, 2086S0127X, 2086S0129X, 208C00000X, 208D00000X
CAOOA8224802086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A822480Medicaid
CAP00038996OtherRAILROAD MEDICARE
CAP00038996OtherRAILROAD MEDICARE
CA00A822480Medicare ID - Type Unspecified