Provider Demographics
NPI:1043404940
Name:SOURATY, PIERRE J (MD)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:J
Last Name:SOURATY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1035 NORTH EMPORIA
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-2998
Mailing Address - Country:US
Mailing Address - Phone:316-263-7285
Mailing Address - Fax:316-263-2666
Practice Address - Street 1:1035 NORTH EMPORIA
Practice Address - Street 2:SUITE 105
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-2998
Practice Address - Country:US
Practice Address - Phone:316-263-7285
Practice Address - Fax:316-263-7285
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2011-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-31458207RN0300X
CAA93836207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology