Provider Demographics
NPI:1720175235
Name:KOURA, RACHANA NEELUM SUKHNANDAN (MD)
Entity Type:Individual
Prefix:
First Name:RACHANA
Middle Name:NEELUM SUKHNANDAN
Last Name:KOURA
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 1:7600 HOSPITAL DR # 1
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5406
Mailing Address - Country:US
Mailing Address - Phone:916-686-5003
Mailing Address - Fax:916-686-5015
Practice Address - Street 1:9727 ELK GROVE FLORIN RD STE 250
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2290
Practice Address - Country:US
Practice Address - Phone:916-686-5003
Practice Address - Fax:916-686-5015
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51113174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist