Individual
DR. SOURABH MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5010
(601) 579-3067
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5010
(601) 579-5463
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
0000050739
TN
2086S0129X
Vascular Surgery Physician
Primary
24402
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05872769
—
MS
Enumeration date
04/22/2007
Last updated
08/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us