Koura MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A125775 Issued in CA

Legal business name

KOURA MD INC

Practice address

751 Medical Center CT
Chula Vista, CA 91911-6617

Phone

(619) 794-2521

Fax

(800) 852-5826

NPI assigned

May 17, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shawn S Koura, M.D.NPI 1407173149

Title

President

Phone

(619) 794-2521

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Singh Koura, M.D.

  • Infectious Disease Physician
  • Chula Vista, CA
  • NPI 1407173149
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1477900751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 CAMINO DEL RIO N",
            "address_2": "SUITE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081713",
            "telephone_number": "619-794-2521",
            "fax_number": "619-794-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 MEDICAL CENTER CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116617",
            "telephone_number": "619-794-2521",
            "fax_number": "800-852-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOURA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "KOURA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-794-2521",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A125775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard M Kornreich, MD
• Camryn Korsmo
• Mabel L Koscuiszka
• Julia Koshechkina
• Hanna Kostenko
• Shawn Singh Koura, M.D.
• Kousay a. Al-Kourainy, M.D.
• Kathryn Krane, M.A.
• Ashley Sarah Krantz
• Laurel Grace Krapivkin, PH.D.

• Infectious Disease Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.