Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel Kobina Desouza Jr., PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700419181

Samuel Kobina Desouza Jr., PA-C is a Student in an Organized Health Care Education/Training Program in Mesa, Arizona. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Mesa, AZ

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 4120 N 22nd St Unit 2, Phoenix, AZ 85016-6114 — (303) 547-5603

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700419181
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 13, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020

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