Individual
ROSAMANI D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-4582
(209) 735-4581
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-4582
(209) 735-4581
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A66063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A660630
—
CA
Enumeration date
11/01/2006
Last updated
12/17/2021
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