Provider Demographics
NPI:1831088590
Name:BARROS DE SOUSA, LUAN (MD)
Entity type:Individual
Prefix:
First Name:LUAN
Middle Name:
Last Name:BARROS DE SOUSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 ALTON ROAD
Mailing Address - Street 2:DPT OF PATHOLOGY
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-674-2310
Mailing Address - Fax:305-674-2946
Practice Address - Street 1:4300 ALTON ROAD
Practice Address - Street 2:DPT OF PATHOLOGY
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-674-2310
Practice Address - Fax:305-674-2946
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program