IndividualActive
Keith Desousa, M.D.
NPI 1013140136 · Neuroradiology Physician · Bradenton, FL
Provider details
- NPI number
- 1013140136
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 272403 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
300 Riverside Dr E Ste 1100
Bradenton, FL 34208-1022
Phone: (941) 867-2111
Fax: (941) 702-4204
Approximate (ZIP-level) locationGet directions
Mailing address
270 E Main St
Bay Shore, NY 11706-8420
Additional practice locations (1)
- 270 E Main StBay Shore, NY 11706-8420Phone: (631) 591-7470Fax: (631) 591-7472
Registry dates
- Enumerated
- 2009-08-24
- Last updated
- 2021-03-08
- Certified
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.