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Individual

DWAYNE HAROLD D'SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1200
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12208313-1205
UT
207P00000X
Emergency Medicine Physician
59932
TN
207PS0010X
Sports Medicine (Emergency Medicine) Physician
12208313-1205
UT
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
59932
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q041453
TN
Enumeration date
04/23/2018
Last updated
12/12/2025
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