Provider Demographics
NPI:1881756427
Name:D'SOUZA, ASHOK FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:FRANCIS
Last Name:D'SOUZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:773-775 NINTH AVE
Mailing Address - Street 2:
Mailing Address - City:NEWYORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-6336
Mailing Address - Country:US
Mailing Address - Phone:212-586-1550
Mailing Address - Fax:212-246-7944
Practice Address - Street 1:773 9TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6336
Practice Address - Country:US
Practice Address - Phone:212-586-1550
Practice Address - Fax:212-246-7944
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215174207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH06208Medicare UPIN