Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sourav Sudan

Individual provider Internal Medicine Physician · NPI 1174360267

Sourav Sudan is an Internal Medicine Physician in Worcester, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

123 Summer St
Worcester, MA 01608-1216
Phone: (508) 363-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 3017294 (MA)

Record details

NPI number1174360267
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address123 Summer St, Worcester, MA 01608-1216

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