Individual
DR. MINA SOURIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(845) 729-4722
Mailing address
1214 COOLIDGE ST, LAFAYETTE, LA 70503
(845) 729-4722
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
323438
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A179351
CA
207RN0300X
Nephrology Physician
Primary
323438
LA
207RN0300X
Nephrology Physician
A179351
CA
Other
Enumeration date
07/17/2015
Last updated
12/12/2025
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