Individual
SURA MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 GOLDSMITH LN STE 204A, LOUISVILLE, KY 40218-1038
(502) 533-8761
Mailing address
2210 GOLDSMITH LN STE 204A, LOUISVILLE, KY 40218-1038
(502) 533-8761
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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