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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992915342 NPPES
Ohio MEDICAID 2744838

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