Provider Demographics
NPI:1821172073
Name:D'SOUZA, DEEPAK CYRIL (MD)
Entity Type:Individual
Prefix:
First Name:DEEPAK
Middle Name:CYRIL
Last Name:D'SOUZA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:950 CAMPBELL AVE
Mailing Address - Street 2:PSYCHIATRY SVC 116A, VA CONNECTICUT HEALTHCARE SYSTEM
Mailing Address - City:WEST-HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516
Mailing Address - Country:US
Mailing Address - Phone:203-932-5711
Mailing Address - Fax:203-937-4860
Practice Address - Street 1:950 CAMPBELL AVE
Practice Address - Street 2:PSYCHIATRY SVC 116A, VA CONNECTICUT HEALTHCARE SYSTEM
Practice Address - City:WEST-HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:203-937-4860
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0328012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry