Healthcare Provider Details

I. General information

NPI: 1518876309
Provider Name (Legal Business Name): INDIRA ANN D'SOUZA MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 SAN JUAN AVE
SAN FRANCISCO CA
94112-2615
US

IV. Provider business mailing address

6511 TELEGRAPH AVE APT 3
OAKLAND CA
94609-1159
US

V. Phone/Fax

Practice location:
  • Phone: 925-337-0104
  • Fax:
Mailing address:
  • Phone: 925-337-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: