Individual
NEIL D B DESOYZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3476
(859) 341-3015
(859) 341-3215
Mailing address
380 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3476
(859) 341-3015
(859) 341-3215
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21895
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2268791
—
OH
05
—
64218951
—
KY
01
—
P00920129
RR MEDICARE
KY
Enumeration date
10/11/2006
Last updated
06/13/2011
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