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Dr. Bryan Xavier Desouza, MD
Clinical Neurophysiology Physician in Wynnewood, Pennsylvania
NPI 1427138486

Bryan Xavier Desouza is a Clinical Neurophysiology Physician based in Wynnewood, PA and is specialized in Clinical Neurophysiology. Bryan Xavier Desouza practices in Wynnewood, PA and has the professional credentials of MD. The NPI Number for Bryan Xavier Desouza is 1427138486 and holds a License No. MD052950L (Pennsylvania).

The current practice location address for Bryan Xavier Desouza is 100 E Lancaster Ave, Wynnewood, PA and can be reached out via phone at 610-649-6090 and via fax at 610-640-6087.

Location: 100 E Lancaster Ave, Wynnewood, PA, 19096-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427138486
Provider Name
Bryan Xavier Desouza
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 E Lancaster Ave, Wynnewood, PA, 19096-3450
Phone Number
610-649-6090
Fax Number
610-640-6087
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0727230000 01 PA KEYSTONE HEALTH PLAN EAST
481009 01 PA AETNA
1483921 05 PA
0792085-007 01 PA CIGNA
438218 01 PA AMERIHEALTH/KEYSTONE
DE438218 01 PA BLUE CROSS BLUE SHIELD
DE438218 01 PA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
100 E Lancaster Ave
City
Wynnewood
State
Pennsylvania
Zip
19096-3450
Phone Number
610-649-6090
Fax Number
610-640-6087
person
Provider Business Mailing Address Details
Address
100 E Lancaster Ave
City
Wynnewood
State
Pennsylvania
Zip
19096-3450
Phone Number
610-649-6090
Fax Number
610-640-6087
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
MD052950L (Pennsylvania)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
MD052950L (Pennsylvania)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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