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Contact Information

KEITH M DSOUZA, MD
401 15TH AVE SE
PUYALLUP, WA98372-3715
 Phone: 253-697-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KEITH M DSOUZA · (Male)

NPI # 1598923567
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2008
Last updated 10/08/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD60614878
Hospital affiliation(s)
  • MULTICARE GOOD SAMARITAN HOSPITAL - (Acute Care)
    401 15TH AVENUE SE
    PUYALLUP, WA 98372
  • PROVIDENCE REGIONAL MEDICAL CENTER EVERETT - (Acute Care)
    1321 COLBY AVENUE
    EVERETT, WA 98201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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