Individual
ROWENA A DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57 GERMANTOWN CT, SUITE 204, CORDOVA, TN 38018-7273
(901) 758-7770
(901) 266-6417
Mailing address
PO BOX 1000, DEPT # 457, MEMPHIS, TN 38148-0001
(901) 758-7770
(901) 266-6417
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
202053
LA
208800000X
Urology Physician
Primary
51681
TN
208800000X
Urology Physician
P0719
TX
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
51681
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05856545
—
MS
05
—
206032001
—
AR
01
—
6026501
BCBS
TN
01
—
P01453290
RAILROAD MEDICARE
TN
05
—
Q009152
—
TN
Enumeration date
07/08/2008
Last updated
07/16/2015
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