De Souza, Andre Luiz Pitanga Bastos

De Souza, Andre Luiz Pitanga Bastos is an sole proprietor health care provider with primary practice located at 825 Chalkstone Ave , Providence RI 02908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. De Souza, Andre Luiz Pitanga Bastos can be contacted via phone (401) 456-5790.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908
Phone: (401) 456-5790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD16354 Rhode Island

Profile Details

NPI number 1053676627
LBN Legal business name De Souza, Andre Luiz Pitanga Bastos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2012
Last updated Jul 18th, 2018 - about 7 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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