D'Souza, Rakesh Roshan
D'Souza, Rakesh Roshan is an individual health care provider with primary practice located at 603 S J St Ste 102 , Tacoma WA 98405-4100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. D'Souza, Rakesh Roshan can be contacted via phone (253) 396-4868.Contact Information
Primary practice address
603 S J St Ste 102
Tacoma WA 98405-4100
Phone: (253) 396-4868
Fax: (253) 396-4870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD457491 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | MD457491 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | MD60739164 | Washington |
Profile Details
| NPI number | 1912210899 |
|---|---|
| LBN Legal business name | D'Souza, Rakesh Roshan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2010 |
| Last updated | Nov 3rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912210899 | NPPES |
| Washington | MEDICAID | 2079479 |
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