D'Souza, Ivan

D'Souza, Ivan is an individual health care provider with primary practice located at 1026 Union Rd , West Seneca NY 14224-3449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. D'Souza, Ivan can be contacted via phone (716) 712-0861.

Contact Information

Primary practice address
1026 Union Rd West Seneca NY 14224-3449
Phone: (716) 712-0861
Fax: (716) 712-0862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 193603 New York

Profile Details

NPI number 1417938614
LBN Legal business name D'Souza, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1417938614 NPPES
New York Other 040426001824 FIDELIS
New York Other 00010039703 FIDELIS
New York Other 0708967 FIDELIS
New York Other 144658CK FIDELIS
New York Other 000523040010 FIDELIS
New York MEDICAID 01439454 FIDELIS

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