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NPI Code Detail

MEDICARE: DR. NIRAIN A D'SOUZA M.D.

MEDICARE: DR. NIRAIN A D'SOUZA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist036109876IL
2207X00000XOrthopaedic Surgery Physician69251AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295736106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIRAIN A D'SOUZA M.D.
Provider Business Mailing Address
First Line : 18444 N 25TH AVE STE 310
Second Line :
City : PHOENIX
State : AZ
Zip : 85023-1266
Country : US
Telephone Number : 866-974-2673
Fax Number : 866-939-2673
Provider Business Practice Location Address
First Line : 1500 S DOBSON RD STE 202
Second Line :
City : MESA
State : AZ
Zip : 85202-4724
Country : US
Telephone Number : 866-974-2673
Fax Number : 866-974-2673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 08/12/2025

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