Doctor Name: | AUREA DESOUZA |
NPI Number: | 1083672554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 1621061 |
Business Practice Address: | 521 East Ave Lockport, NY - 14094 |
Business Phone Number: | 7167785071 |
Business Fax Number: | |
Mailing Address: | Po Box 8000, Dept 836 BUFFALO |
State: | NY |
Postal Code: | 14267 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 1621061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |