Healthcare Provider Details

I. General information

NPI: 1497495014
Provider Name (Legal Business Name): SARAH D'SOUZA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 WATERSTONE DR
HILLSBOROUGH NC
27278-9078
US

IV. Provider business mailing address

460 WATERSTONE DR
HILLSBOROUGH NC
27278-9078
US

V. Phone/Fax

Practice location:
  • Phone: 984-215-3512
  • Fax: 984-215-3510
Mailing address:
  • Phone: 984-215-3512
  • Fax: 984-215-3510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VC0300X
TaxonomyComplex Family Planning Physician
License Number2026-01847
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2026-01847
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: