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DR. ANSUYA PRITHAVI DEOSARAN MD NPI 1588198089


NPI Information

NPI: 1588198089
Provider Name: DR. ANSUYA PRITHAVI DEOSARAN, MD
Classification: Ophthalmology - 207WX0120X
Entity Type: Individual

Specialization: Cornea and External Diseases Specialist

PECOS Registration: Yes

Address:
3419 JOHNSON ST
HOLLYWOOD, FL
ZIP 33021
Phone: (549) 892-8009
Get Directions

DR. Ansuya Prithavi Deosaran, MD is a cornea and external diseases specialist ophthalmology in Hollywood, FL with 7 years of experience. The provider is an ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. DR. Ansuya Prithavi Deosaran, MD NPI is 1588198089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

3419 JOHNSON ST
HOLLYWOOD, FL
ZIP 33021-420
Phone: (549) 892-8009

The NPI 1588198089 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 4/12/2017 and was last updated on 7/12/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology2021014728MISSOURINo
2207WX0120XOphthalmologyCornea and External Diseases SpecialistME155392FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101030129OTHERMEDICARE
2200095944MEDICAIDMISSOURI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.