Individual
SOURABH BIDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(828) 456-7311
(252) 962-3320
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
327372
LA
208M00000X
Hospitalist Physician
327372
LA
Other
Enumeration date
05/24/2018
Last updated
03/10/2025
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