Individual
DR. DINEA DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 QUINCE ORCHARD ROAD, SUITE 350, GAITHERSBURG, MD 20878
(301) 926-3633
(301) 948-9884
Mailing address
10801 LOCKWOOD DRIVE, SUITE 325, GAITHERSBURG, MD 20878
(301) 754-3050
(301) 681-0789
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0054977
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088601700
—
MD
Enumeration date
11/01/2006
Last updated
07/10/2012
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