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Individual
ANITA D'SOUZA
Active
Individual
ANITA D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090585
MI
207RH0000X
Hematology (Internal Medicine) Physician
104962
MN
207RH0000X
Hematology (Internal Medicine) Physician
53303
MN
207RH0003X
Hematology & Oncology Physician
53303
MN
207RH0003X
Hematology & Oncology Physician
Primary
61263
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700086410
—
WI
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00898125
RAIL ROAD - MEDICARE
—
Enumeration date
07/20/2007
Last updated
10/01/2020
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