National Provider Identifier
Aurea S Desouza, M.D.
Aurea S Desouza, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 855-2866.
Profile Overview
- NPI
- 1083672554
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- May 03, 2006
- Last Updated
- June 10, 2020
Practice Location
- 222 Genesee St
- Buffalo, NY 14203-1512
Phone: (716) 855-2866
Mailing Address
- PO Box 8000
- Dept 836
- Buffalo, NY 14267
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1083672554
- Entity Type
- Individual
- Last Name
- Desouza
- First Name
- Aurea
- Middle Name
- S
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Desouza
- Provider Other First Name
- Aurea
- Provider Other Middle Name
- Sismea Sushila
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- PO Box 8000
- Mailing Address Line 2
- Dept 836
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14267
- Mailing Country
- US
- Practice Street Address
- 222 Genesee St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1512
- Practice Country
- US
- Practice Phone
- (716) 855-2866
- Enumeration Date
- May 03, 2006
- Last Updated
- June 10, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 000525621002 (Blue Shield Of Western Ny), 145783FF (Preferred Care), RB6946 (Medicare), 000525621009 (Blue Shield Of Western Ny), CRDRA1621564 (NY, Workers Compensation), 00011300701 (Univera), 01059672 (NY), 5690132 (Independent Health), 300111490 (Railroad Medicare), P00003640 (Railroad Medicare), 00026904502 (Univera), 000525621006 (Blue Shield Of Western Ny)