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NPI Code Detail

MEDICARE: DEBORAH L. D'SOUZA MD

MEDICARE: DEBORAH L. D'SOUZA 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
1207V00000XObstetrics & Gynecology Physician35081377OH

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 : 1801878301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH L. D'SOUZA MD
Provider Business Mailing Address
First Line : 2200 JEFFERSON AVE
Second Line : 4TH FLOOR
City : TOLEDO
State : OH
Zip : 43624-1120
Country : US
Telephone Number : 419-251-2673
Fax Number : 419-251-0916
Provider Business Practice Location Address
First Line : 2213 FRANKLIN AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1402
Country : US
Telephone Number : 419-251-2395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 07/19/2012

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