Individual
DR. RAKESH ROSHAN D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
603 S J ST STE 102, TACOMA, WA 98405-4100
(253) 396-4868
(253) 396-4870
Mailing address
603 S J ST STE 102, TACOMA, WA 98405-4100
(253) 396-4868
(253) 396-4870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD457491
PA
2080P0202X
Pediatric Cardiology Physician
MD457491
PA
2080P0202X
Pediatric Cardiology Physician
Primary
MD60739164
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079479
—
WA
Enumeration date
07/20/2010
Last updated
11/03/2022
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