Individual
DR. AUREA S DESOUZA
Active
Individual
DR. AUREA S DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
162156
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011300701
UNIVERA
—
01
—
00026904502
UNIVERA
—
01
—
000525621002
BLUE SHIELD OF WESTERN NY
—
01
—
000525621006
BLUE SHIELD OF WESTERN NY
—
01
—
000525621009
BLUE SHIELD OF WESTERN NY
—
05
—
01059672
—
NY
01
—
145783FF
PREFERRED CARE
—
01
—
300111490
RAILROAD MEDICARE
—
01
—
5690132
INDEPENDENT HEALTH
—
01
—
CRDRA1621564
WORKERS COMPENSATION
NY
01
—
P00003640
RAILROAD MEDICARE
—
01
—
RB6946
MEDICARE
—
Enumeration date
05/03/2006
Last updated
06/10/2020
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