Provider Demographics
NPI:1447003298
Name:DSOUZA, MARIUS EMANUEL (DOCTOR OF MEDICINE)
Entity type:Individual
Prefix:MR
First Name:MARIUS
Middle Name:EMANUEL
Last Name:DSOUZA
Suffix:
Gender:M
Credentials:DOCTOR OF MEDICINE
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602, SILVER ARK
Mailing Address - Street 2:CONVENT AVENUE, SANTACRUZ WEST
Mailing Address - City:MUMBAI
Mailing Address - State:MAHARASHTRA
Mailing Address - Zip Code:400054
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PARKWAY SOUTH
Practice Address - Street 2:JACOBI MEDICAL CENTER
Practice Address - City:BRONX, NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-918-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-12-23
Deactivation Date:2024-11-22
Deactivation Code:
Reactivation Date:2024-12-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program