Desouza, Dinea

Desouza, Dinea is an individual health care provider with primary practice located at 555 Quince Orchard Road Suite 350, Gaithersburg MD 20878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Desouza, Dinea can be contacted via phone (301) 926-3633.

Contact Information

Primary practice address
555 Quince Orchard Road Suite 350 Gaithersburg MD 20878
Fax: (301) 948-9884
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0054977 Maryland

Profile Details

NPI number 1578640470
LBN Legal business name Desouza, Dinea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 10th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578640470 NPPES
Maryland MEDICAID 088601700

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