MARYANNE Y. SOURIAL DO – NPI #1417346321
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

MARYANNE SOURIAL is a physician located in LAFAYETTE, LA. NPPES has assigned the NPI number 1417346321 to MARYANNE SOURIAL on January 15, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Jun 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYANNE SOURIAL below.

NPI Profile for
MARYANNE Y. SOURIAL

NPI Number
1417346321
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARYANNE Y. SOURIAL
Credentials
DO
Primary location
1460 S COLLEGE RD
LAFAYETTE, LA 70503-2912
Phone: (337) 703-6431 Fax:
1 Other location(s):
1 Medical Center Dr
Suite 162
Stratford, NJ 08084-1500
Phone: (856) 566-6708
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jun 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 NY 288330

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARYANNE SOURIAL is affiliated with the following medical group(s):
  • HOSPITAL
    • MONTEFIORE MEDICAL CENTER
      111 EAST 210TH STREET
      BRONX, NY 10467
  • DIALYSIS FACILITY
    • MORNINGSIDE DIALYSIS CENTER LLC.
      1000 Pelham Parkway South
      Bronx, NY 10461

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