DR. KEITH GARCIA DESOUSA M.D. NPI 1013140136

NPI Information

NPI: 1013140136
Provider Name: DR. KEITH GARCIA DESOUSA, M.D.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Organization: UNITED HEALTH SERVICES HOSPITALS INC

PECOS Registration: Yes

Address:
300 RIVERSIDE DR E STE 1100
BRADENTON, FL
ZIP 34208
Phone: (941) 867-2111
Get Directions

DR. Keith Garcia Desousa, M.D. is a neuroradiology radiology in Bradenton, FL with 15 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Keith Garcia Desousa, M.D. NPI is 1013140136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 RIVERSIDE DR E STE 1100
BRADENTON, FL
ZIP 34208-022
Phone: (941) 867-2111
Fax: (941) 702-4204

The NPI 1013140136 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2009 and was last updated on 3/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	ME112657	FLORIDA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	272403	NEW YORK	No
3	2084V0102X	Psychiatry & Neurology	Vascular Neurology	ME112657	FLORIDA	No
4	2084V0102X	Psychiatry & Neurology	Vascular Neurology	272403	NEW YORK	No
5	2085N0700X	Radiology	Neuroradiology	ME112657	FLORIDA	Yes
6	2085N0700X	Radiology	Neuroradiology	272403	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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