Desouza, Stephen A.M.
Desouza, Stephen A.M. is an individual health care provider with primary practice located at 1750 E Glendale Ave , Phoenix AZ 85020-5505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Desouza, Stephen A.M. can be contacted via phone (602) 242-4928.Contact Information
Primary practice address
1750 E Glendale Ave
Phoenix AZ 85020-5505
Phone: (602) 242-4928
Fax: (602) 249-4813
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 28793 | Arizona |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 28793 | Arizona |
Profile Details
NPI number | 1548232820 |
---|---|
LBN Legal business name | Desouza, Stephen A.M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Apr 4th, 2017 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548232820 | NPPES |
Arizona | MEDICAID | 619851 |
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