DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOURABH BIDHAN, MD

Deactivated

SOURABH BIDHAN, MD is a Internal Medicine healthcare provider located in ROCKY MOUNT, North Carolina. NPI 1356832331 is deactivated in the NPPES registry. Verify at CMS.

Internal Medicine · ROCKY MOUNT, NC

This NPI has been deactivated. The record was deactivated on March 8, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1356832331
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2018 (0.78904109589041 yrs)
Last Updated
Mar 10, 2025
Deactivated
Mar 8, 2019
Licenses
327372 (LA)
327372 (LA)

Practice Information

Address
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC, 278042237
Browse NC providers · Browse ZIP 27804
Phone
8284567311
Fax
2529623320
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in ROCKY MOUNT, NC

Name Credential NPI
KENNETH R ADAMS MD 1366446965
GRACE MAYAMIKO JERE MD 1801896618
DR. DANIEL LIND CROCKER M.D. 1700886272
DONALD W BALES MD 1588658504
MARTHA J CHESNUTT MD 1659365690
DAVID ALLEN BROWDER MD 1194719104
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.