Individual
DR. SOURABH MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
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