Deosaran, Ansuya Prithavi
Deosaran, Ansuya Prithavi is an individual health care provider with primary practice located at 3419 Johnson St , Hollywood FL 33021-5420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Deosaran, Ansuya Prithavi can be contacted via phone (549) 892-8009.Contact Information
Primary practice address
3419 Johnson St
Hollywood FL 33021-5420
Phone: (549) 892-8009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2021014728 | Missouri |
Profile Details
| NPI number | 1588198089 |
|---|---|
| LBN Legal business name | Deosaran, Ansuya Prithavi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2017 |
| Last updated | Jul 12th, 2022 - about 4 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 | 1588198089 | NPPES |
| Missouri | MEDICAID | 200095944 | |
| Missouri | Other | 101030129 |
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