1871789180 NPI number — DR. KATHRYN ANNE DONOHUE-DE SOUZA M.D.

Table of content: DR. KATHRYN ANNE DONOHUE-DE SOUZA M.D. (NPI 1871789180)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871789180 NPI number — DR. KATHRYN ANNE DONOHUE-DE SOUZA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DONOHUE-DE SOUZA
Provider First Name:
KATHRYN
Provider Middle Name:
ANNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871789180
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BOX AP 59223
Provider Second Line Business Mailing Address:
SLOT 390
Provider Business Mailing Address City Name:
NASSAU
Provider Business Mailing Address State Name:
NEW PROVIDENCE
Provider Business Mailing Address Postal Code:
00000
Provider Business Mailing Address Country Code:
BS
Provider Business Mailing Address Telephone Number:
242-702-4609
Provider Business Mailing Address Fax Number:
242-702-4624

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BOX AP 59223
Provider Second Line Business Practice Location Address:
SLOT 390
Provider Business Practice Location Address City Name:
NASSAU
Provider Business Practice Location Address State Name:
NEW PROVIDENCE
Provider Business Practice Location Address Postal Code:
00000
Provider Business Practice Location Address Country Code:
BS
Provider Business Practice Location Address Telephone Number:
242-702-4609
Provider Business Practice Location Address Fax Number:
242-702-4624
Provider Enumeration Date:
09/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  194404 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 194404 . This is a "NEW YORK STATE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com