Desouza, Derek George
Desouza, Derek George is an individual health care provider with primary practice located at 20206 Farmington Rd , Livonia MI 48152-1412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Desouza, Derek George can be contacted via phone (248) 476-4724.Contact Information
Primary practice address
20206 Farmington Rd
Livonia MI 48152-1412
Phone: (248) 476-4724
Fax: (248) 476-7091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301042922 | Michigan |
Profile Details
| NPI number | 1679565378 |
|---|---|
| LBN Legal business name | Desouza, Derek George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Dec 24th, 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 | 1679565378 | NPPES |
| Michigan | Other | 1108211162 | MEDICARE |
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