Sururat A Coulibaly, PA-C is a medical physician assistant in Las Vegas, NV with 14 years of experience. Sururat A Coulibaly, PA-C NPI is 1235427816. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
630 S RANCHO DR STE E
LAS VEGAS, NV
ZIP 89106-849
Phone: (702) 258-1001
Fax: (702) 258-3455
The NPI 1235427816 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/15/2011 and was last updated on 11/2/2021.