Individual
SONIYASRI KOOCHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 E FLORENCE BLVD, ATTN: HOSPITALIST TEAM, CASA GRANDE, AZ 85122-5303
(480) 543-2034
(480) 543-2647
Mailing address
1800 E FLORENCE BLVD, ATTN: HOSPITALIST TEAM, CASA GRANDE, AZ 85122-5303
(480) 543-2034
(480) 543-2647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51976
AZ
208M00000X
Hospitalist Physician
Primary
51976
AZ
Other
Enumeration date
08/28/2015
Last updated
12/31/2018
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