Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 04-31458 | KS |
N | 207RN0300X | Nephrologist | A93836 | CA |
NPI | 1043404940 |
---|---|
Provider Name | Dr. Pierre J Souraty |
First Address | Wichita, KS 67214-2998 |
Second Address | Wichita, KS 67214-2998 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2007 |
Last Update Date | 05/10/2011 |