National Provider Identifier
Ivan D'Souza, M.D.
Ivan D'Souza, M.D. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in West Seneca, NY and a listed phone number of (716) 712-0861.
Profile Overview
- NPI
- 1417938614
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- November 07, 2005
- Last Updated
- July 08, 2007
Practice Location
- 1026 Union RD
- West Seneca, NY 14224-3449
Phone: (716) 712-0861
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1417938614
- Entity Type
- Individual
- Last Name
- D'Souza
- First Name
- Ivan
- Credential
- M.D.
- Mailing Street Address
- 1026 Union RD
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3449
- Mailing Country
- US
- Mailing Phone
- (716) 712-0861
- Mailing Fax
- (716) 712-0862
- Practice Street Address
- 1026 Union RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3449
- Practice Country
- US
- Practice Phone
- (716) 712-0861
- Practice Fax
- (716) 712-0862
- Enumeration Date
- November 07, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 040426001824 (NY, Fidelis), 00010039703 (NY, Univera), 0708967 (NY, Iha), 144658CK (NY, Preferred C Are), 000523040010 (NY, Bc/Bs), 01439454 (NY)