Individual
QUEENIE MOUSUMI D'COSTA
Active
Individual
QUEENIE MOUSUMI D'COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
MD424352
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME102726
FL
2080P0203X
Pediatric Critical Care Medicine Physician
P1451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000383900
—
FL
Enumeration date
05/08/2007
Last updated
05/03/2023
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