Desouza, Bryan Xavier
Desouza, Bryan Xavier is an sole proprietor health care provider with primary practice located at 100 E Lancaster Ave Suite 312, Wynnewood PA 19096-3450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Desouza, Bryan Xavier can be contacted via phone (610) 649-6090.Contact Information
Primary practice address
100 E Lancaster Ave Suite 312
Wynnewood PA 19096-3450
Phone: (610) 649-6090
Fax: (610) 640-6087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD052950L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MD052950L | Pennsylvania |
Profile Details
| NPI number | 1427138486 |
|---|---|
| LBN Legal business name | Desouza, Bryan Xavier |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427138486 | NPPES |
| Pennsylvania | Other | 0727230000 | KEYSTONE HEALTH PLAN EAST |
| Pennsylvania | Other | 481009 | KEYSTONE HEALTH PLAN EAST |
| Pennsylvania | MEDICAID | 1483921 | KEYSTONE HEALTH PLAN EAST |
| Pennsylvania | Other | 0792085-007 | KEYSTONE HEALTH PLAN EAST |
| Pennsylvania | Other | 438218 | KEYSTONE HEALTH PLAN EAST |
| Pennsylvania | Other | DE438218 | KEYSTONE HEALTH PLAN EAST |
| Pennsylvania | Other | DE438218 | KEYSTONE HEALTH PLAN EAST |
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