Sugra Shiraz Kathiriya, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A35847 Issued in CA

Practice address

15651 Imperial Hwy
Suite#103
La Mirada, CA 90638-1628

Phone

(562) 947-9555

Fax

(562) 947-9556

NPI assigned

Jun 18, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780629386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY",
            "address_2": "SUITE#103",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381628",
            "telephone_number": "562-947-9555",
            "fax_number": "562-947-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY",
            "address_2": "SUITE#103",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381628",
            "telephone_number": "562-947-9555",
            "fax_number": "562-947-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHIRIYA",
        "first_name": "SUGRA",
        "middle_name": "SHIRAZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A35847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JW Jacob Chae DMD Inc
• Myrtle MC Intosh Kalugin
• Ji Kang, L.AC.
• Angela Kay Kasprzak, AMFT
• Christopher G Katcherian, MD
• Neil T Katz, M.D.
• Ken C. Nguyen DPM a Podiatry Corporation
• Kenneth S. Johnson, M.D. a Medical Corporation
• Allen Lee Khai, DDS
• Mohammed Khursheed, M.D.

• Pediatrics Physician in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.