Individual
DR. MATTHEW SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 DUTCHMANS PKWY STE 200, LOUISVILLE, KY 40205-3373
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R3629
KY
207RI0011X
Interventional Cardiology Physician
Primary
50354
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2014
Last updated
01/31/2025
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