Individual provider · Type 1 NPI
Keith Garcia Desousa, MD
Neuroradiology Physician · Bradenton, FL
NPI number
1013140136
Active
Practice location
300 Riverside Dr E Ste 1100
Bradenton, FL 34208-1022
Fax (941) 702-4204
Mailing address
270 E Main St
Bay Shore, NY 11706-8420
Other practice locations
- 270 E Main St, Bay Shore, NY 11706-8420 · (631) 591-7470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician | 2084N0400X | 272403 (NY) |
| Neurology Physician | 2084N0400X | ME112657 (FL) |
| Vascular Neurology Physician | 2084V0102X | 272403 (NY) |
| Vascular Neurology Physician | 2084V0102X | ME112657 (FL) |
| Neuroradiology Physician | 2085N0700X | 272403 (NY) |
| Neuroradiology Physician Primary | 2085N0700X | ME112657 (FL) |
Neuroradiology Physician: 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.
About NPI 1013140136
Keith Garcia Desousa, MD's National Provider Identifier is 1013140136, issued on Aug 24, 2009. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Bradenton, FL. The record was last updated on Mar 8, 2021.