Individual
DOUGAL N D'SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9800 VALPARAISO DR, MUNSTER, IN 46321-4040
(219) 934-9852
(219) 836-7593
Mailing address
5500 S HOHMAN AVE, SUITE IE, HAMMOND, IN 46320-1965
(219) 937-2187
(219) 937-2195
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01049977A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200208110
—
IN
Enumeration date
07/22/2006
Last updated
03/16/2021
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