D'Sa, Viren Andrew
D'Sa, Viren Andrew is an individual health care provider with primary practice located at 555 Prospect St , Pawtucket RI 02860-6200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. D'Sa, Viren Andrew can be contacted via phone (401) 729-6200.Contact Information
Primary practice address
555 Prospect St
Pawtucket RI 02860-6200
Phone: (401) 729-6200
Fax: (401) 729-6203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD12388 | Rhode Island |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD12388 | Rhode Island |
Profile Details
| NPI number | 1326243866 |
|---|---|
| LBN Legal business name | D'Sa, Viren Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | May 14th, 2010 - about 16 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 | 1326243866 | NPPES |
| Rhode Island | Other | 007059581 | MEDICARE PTAN |
| Rhode Island | MEDICAID | VD68530 | MEDICARE PTAN |
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