MEDICARE: ERIK BRIAN SOWELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	E-11359	AR
2	207R00000X	Internal Medicine Physician	339319	LA
3	207R00000X	Internal Medicine Physician	ME140521	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558758730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIK BRIAN SOWELL MD

Provider Business Mailing Address
First Line	:	7373 PERKINS RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4373
Country	:	US
Telephone Number	:	225-246-9790
Fax Number	:	225-246-9160

Provider Business Practice Location Address
First Line	:	2504 BISCAYNE BLVD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-4518
Country	:	US
Telephone Number	:	786-598-4560
Fax Number	:	786-598-4561

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2015
Last Update Date	:	11/16/2023

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Directions to “ ERIK BRIAN SOWELL MD” Practice Location

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