Sourial, Mina
Sourial, Mina is an sole proprietor health care provider with primary practice located at 1214 Coolidge Blvd , Lafayette LA 70503-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Sourial, Mina can be contacted via phone (845) 729-4722.Contact Information
Primary practice address
1214 Coolidge Blvd
Lafayette LA 70503-2621
Phone: (845) 729-4722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A179351 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A179351 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 323438 | Louisiana |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 323438 | Louisiana |
Profile Details
| NPI number | 1619351780 |
|---|---|
| LBN Legal business name | Sourial, Mina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2015 |
| Last updated | Dec 12th, 2025 - about last year |
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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