Mukherjee, Sourabh

Mukherjee, Sourabh is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mukherjee, Sourabh can be contacted via phone (601) 579-5010.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 579-5010
Fax: (601) 579-3067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0000050739 Tennessee
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 24402 Mississippi

Profile Details

NPI number 1598983108
LBN Legal business name Mukherjee, Sourabh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2007
Last updated Aug 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598983108 NPPES
Mississippi MEDICAID 05872769

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