Sean Benedict D'Souza in Peoria - Vascular Surgery
Sean Benedict D'Souza - NPI 1306043211
Sean Benedict D'Souza is a Vascular Surgery in Peoria, Arizona. Sean Benedict D'Souza practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Sean Benedict D'Souza is 1306043211. The last update date is 2014-09-12.
Sean Benedict D'Souza's current location address is 9192 W Union Hills Dr, Peoria, Arizona. You can contact this provider via phone number 6023744101 and fax number 6024410522. The mailing address for Sean Benedict D'Souza is 9192 W Union Hills Dr, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean Benedict D'Souza |
|---|---|
| Address | 9192 W Union Hills Dr, Peoria, Arizona |
| Phone Number | 6023744101 |
| Fax Number | 6024410522 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306043211 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2014-09-12 |
Provider Mailing Address Detail
| Address | 9192 W Union Hills Dr |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853828208 |
| Phone Number | 6023744101 |
| Fax Number | 6024410522 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 49960 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 423119 | AZ | -- |
Post Comment/ Review Below
What is the Sean Benedict D'Souza's 1306043211?
The Sean Benedict D'Souza's NPI (National Provider Identifier) Number is 1306043211. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sean Benedict D'Souza?
The Sean Benedict D'Souza is situated at 9192 W Union Hills Dr, in the city of Peoria, state of AZ, with the zip code 853828208.
What is Sean Benedict D'Souza's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sean Benedict D'Souza is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did the Sean Benedict D'Souza receive the assignment of its 1306043211 from the Centers for Medicare & Medicaid Services?
The Sean Benedict D'Souza was issued its 1306043211 by the Centers for Medicare & Medicaid Services on 2007-07-03.
When was the information pertaining to Sean Benedict D'Souza most recently updated or revised?
The details related to Sean Benedict D'Souza, including its address, specialty, and other relevant information, were last updated or revised on 2014-09-12.