Prema Fancy D Souza, MD

NPI #1225417397 in Independence, Missouri

Provider Information

NPI Number: 1225417397
Entity Type: Individual
Name: Prema Fancy D Souza, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: May 22, 2015
Last Updated: Aug 21, 2018

Practice Location

Address: 20300 E VALLEY VIEW PKWY
City: Independence
State: Missouri
ZIP Code: 64057
Phone: (816) 478-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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