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NPI Code Detail

MEDICARE: LEO DSOUZA MD

MEDICARE:   LEO  DSOUZA  MD
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
12084P0800XPsychiatry Physician66032OH

Other Identifiers

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

General Provider Information

NPI Number : 1720075153
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEO DSOUZA MD
Provider Business Mailing Address
First Line : 325 LAFAYETTE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-1122
Country : US
Telephone Number : 513-207-3212
Fax Number : 513-936-8149
Provider Business Practice Location Address
First Line : 7505 READING RD
Second Line : #201
City : CINCINNATI
State : OH
Zip : 45237-3236
Country : US
Telephone Number : 513-207-3212
Fax Number : 513-936-8149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 07/08/2007

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Directions to “ LEO DSOUZA MD” Practice Location

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