D'Sa, Viren Andrew

D'Sa, Viren Andrew is an individual health care provider with primary practice located at 555 Prospect St , Pawtucket RI 02860-6200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. D'Sa, Viren Andrew can be contacted via phone (401) 729-6200.

Contact Information

Primary practice address
555 Prospect St Pawtucket RI 02860-6200
Phone: (401) 729-6200
Fax: (401) 729-6203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD12388 Rhode Island
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD12388 Rhode Island

Profile Details

NPI number 1326243866
LBN Legal business name D'Sa, Viren Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated May 14th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326243866 NPPES
Rhode Island Other 007059581 MEDICARE PTAN
Rhode Island MEDICAID VD68530 MEDICARE PTAN

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