Bryan Xavier Desouza in Wynnewood - Clinical Neurophysiology
Bryan Xavier Desouza - NPI 1427138486
Bryan Xavier Desouza is a Clinical Neurophysiology in Wynnewood, Pennsylvania. Bryan Xavier Desouza practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Bryan Xavier Desouza is 1427138486. The last update date is 2007-07-08.
Bryan Xavier Desouza's current location address is 100 E Lancaster Ave, Wynnewood, Pennsylvania. You can contact this provider via phone number 6106496090 and fax number 6106406087. The mailing address for Bryan Xavier Desouza is 100 E Lancaster Ave, Wynnewood, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Xavier Desouza |
|---|---|
| Address | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
| Phone Number | 6106496090 |
| Fax Number | 6106406087 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1427138486 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 E Lancaster Ave |
|---|---|
| City | Wynnewood |
| State | Pennsylvania (PA) |
| Post Code | 190963450 |
| Phone Number | 6106496090 |
| Fax Number | 6106406087 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | MD052950L |
|
Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 727230000 | PA | KEYSTONE HEALTH PLAN EAST | |
| 481009 | PA | AETNA | |
| 1483921 | PA | -- | |
| 0792085-007 | PA | CIGNA | |
| 438218 | PA | AMERIHEALTH/KEYSTONE | |
| DE438218 | PA | BLUE CROSS BLUE SHIELD | |
| DE438218 | PA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bryan Xavier Desouza by the Centers for Medicare & Medicaid Services?
The Bryan Xavier Desouza has been assigned the NPI (National Provider Identifier) 1427138486 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bryan Xavier Desouza's facilities are geographically located?
The facilities of Bryan Xavier Desouza are physically situated at the following location: 100 E Lancaster Ave, Wynnewood, PA, 190963450.
What is Bryan Xavier Desouza's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bryan Xavier Desouza is Clinical Neurophysiology, and the taxonomy classification code that categorizes this area of expertise is 2084N0600X.
When was the Bryan Xavier Desouza's 1427138486 issued?
The Bryan Xavier Desouza's 1427138486 was issued on 2006-10-16.
When was the information pertaining to Bryan Xavier Desouza most recently updated or revised?
The details related to Bryan Xavier Desouza, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA