Sourianarayanane, Achuthan
Sourianarayanane, Achuthan is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Division Of Gastroenterology, Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Sourianarayanane, Achuthan can be contacted via phone (414) 955-6830.Contact Information
Primary practice address
9200 W Wisconsin Ave Division Of Gastroenterology
Milwaukee WI 53226-3522
Phone: (414) 955-6830
Fax: (414) 955-6214
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35088998 | Ohio |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 46701 | Kentucky |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 65061 | Wisconsin |
Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | 65061 | Wisconsin |
Profile Details
NPI number | 1992915342 |
---|---|
LBN Legal business name | Sourianarayanane, Achuthan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2007 |
Last updated | Feb 5th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992915342 | NPPES |
Ohio | MEDICAID | 2744838 |
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