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Contact Information

SOURABH MUKHERJEE, MD
415 S 28TH AVE
HATTIESBURG, MS39401-7246
 Phone: 601-579-5010
 Fax: 601-579-3067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for SOURABH MUKHERJEE · (Male)

NPI Number 1598983108
Status Active
Credentials MD
Entity Individual
Enumeration date 04/22/2007
Last updated 08/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 24402
  • TN License # 0000050739
  • MS Medicaid 05872769
Hospital affiliation(s)
  • FORREST GENERAL HOSPITAL - (Acute Care)
    6051 US HIGHWAY 49
    HATTIESBURG, MS 39404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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