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Sururat A Coulibaly, PA-C

Medical Physician Assistant in Las Vegas, NV · enumerated 2011 · practices at J Robert West, M.D., Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235427816

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Registry record

Entity type Individual (Type 1)
Name Sururat A Coulibaly
Credential PA-C
Sex Female
Practice address 630 S Rancho Dr Ste E, Las Vegas, NV, 89106
Phone (702) 258-1001
Fax (702) 258-3455
Enumeration date Jul 15, 2011
Last updated in NPPES Nov 2, 2021

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA21484 (CA) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA1271 (NV) Primary

Other identifiers

Identifier Type State Issuer
PA1271 Other NV MEDICAL LICENSE
1235427816 Medicaid NV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Sururat Coulibaly?
The National Provider Identifier (NPI) for Sururat Coulibaly is 1235427816, a Type 1 (individual) record in the CMS NPPES registry.
Where does Sururat Coulibaly practice?
The practice location on file with NPPES is in Las Vegas, NV. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-02.