D'Souza, Ivan
D'Souza, Ivan is an individual health care provider with primary practice located at 1026 Union Rd , West Seneca NY 14224-3449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. D'Souza, Ivan can be contacted via phone (716) 712-0861.Contact Information
Primary practice address
1026 Union Rd
West Seneca NY 14224-3449
Phone: (716) 712-0861
Fax: (716) 712-0862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 193603 | New York |
Profile Details
| NPI number | 1417938614 |
|---|---|
| LBN Legal business name | D'Souza, Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1417938614 | NPPES |
| New York | Other | 040426001824 | FIDELIS |
| New York | Other | 00010039703 | FIDELIS |
| New York | Other | 0708967 | FIDELIS |
| New York | Other | 144658CK | FIDELIS |
| New York | Other | 000523040010 | FIDELIS |
| New York | MEDICAID | 01439454 | FIDELIS |
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