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Individual

JASON D'SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444
Mailing address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-46400
KS
207RI0011X
Interventional Cardiology Physician
Primary
04-46400
KS

Other

Enumeration date
07/02/2014
Last updated
11/16/2023
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