| Romaldo Desouza, Md | |
|
6344 Tred Avon Place Gainesville VA 20155-3133 | |
| (703) 217-6255 | |
| Not Available |
| Full Name | Romaldo Desouza, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 6344 Tred Avon Place, Gainesville, Virginia |
| Authorized Official Name and Position | Sylvia Rollins (BILLING MANAGER) |
| Authorized Official Contact | 4107190020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Romaldo Desouza, Md 6344 Tred Avon Place Gainesville VA 20155-3133 Ph: (703) 217-6255 | Romaldo Desouza, Md 6344 Tred Avon Place Gainesville VA 20155-3133 Ph: (703) 217-6255 |
| NPI Number | 1144989823 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144989823 | NPI | - | NPPES |
| 1740628007 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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