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NPI Code Detail

MEDICARE: DR. HANY A SOURIAL MD

MEDICARE:  DR. HANY A SOURIAL  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
1207R00000XInternal Medicine PhysicianME176118FL
2207R00000XInternal Medicine PhysicianC186872CA
3207R00000XInternal Medicine Physician25MA06728600NJ

Other Identifiers

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

General Provider Information

NPI Number : 1427027200
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HANY A SOURIAL MD
Provider Business Mailing Address
First Line : 9725 NW 117TH AVE STE 200
Second Line :
City : MEDLEY
State : FL
Zip : 33178-1260
Country : US
Telephone Number : 954-432-0578
Fax Number : 954-432-5060
Provider Business Practice Location Address
First Line : 7239 US HIGHWAY 301 S
Second Line :
City : RIVERVIEW
State : FL
Zip : 33578-4346
Country : US
Telephone Number : 813-741-2100
Fax Number : 813-741-2003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 03/18/2026

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Directions to “ DR. HANY A SOURIAL MD” Practice Location

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