Individual
ANITA D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-4600
(414) 805-6815
Mailing address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-4600
(414) 805-6815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090585
MI
207RH0000X
Hematology (Internal Medicine) Physician
104962
MN
207RH0000X
Hematology (Internal Medicine) Physician
53303
MN
207RH0003X
Hematology & Oncology Physician
53303
MN
207RH0003X
Hematology & Oncology Physician
Primary
61263
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700086410
—
WI
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00898125
RAIL ROAD - MEDICARE
—
Enumeration date
07/20/2007
Last updated
10/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us