Individual
DR. BRYAN XAVIER DESOUZA
Active
Individual
DR. BRYAN XAVIER DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD052950L
PA
2084N0600X
Clinical Neurophysiology Physician
Primary
MD052950L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0727230000
KEYSTONE HEALTH PLAN EAST
PA
01
—
0792085-007
CIGNA
PA
05
—
1483921
—
PA
01
—
438218
AMERIHEALTH/KEYSTONE
PA
01
—
481009
AETNA
PA
01
—
DE438218
BLUE CROSS BLUE SHIELD
PA
Enumeration date
10/16/2006
Last updated
09/11/2025
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