Sorathia, Lubna Tayyab

Sorathia, Lubna Tayyab is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Geriatrics, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Sorathia, Lubna Tayyab can be contacted via phone (414) 805-6850.

Contact Information

Primary practice address
9200 W Wisconsin Ave Geriatrics Milwaukee WI 53226-3522
Fax: (414) 805-6851
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46195 Colorado
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 64303-20 Wisconsin

Profile Details

NPI number 1073702627
LBN Legal business name Sorathia, Lubna Tayyab
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2007
Last updated Jul 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073702627 NPPES
Colorado MEDICAID 92720234

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