Search › Kentucky › 2080P0208X
Randal De Souza, MD
NPI 1205321205 · on the registry since 2018 · sole proprietor
Practice
- Address
- 740 S Limestone Ste K201
Lexington, KY 40536 - Phone
- (859) 323-6211
- Fax
- (859) 257-0491
- Organisation at this address
- Uk Ot Group
Tracy Profitt
Uk Optical Shop
University Of Kentucky
University Of KentuckyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 701
Additional practice sites
- 2401 W Belvedere Ave, Baltimore, MD
- 700 Childrens Dr, Columbus, OH
Registry record
- Primary taxonomy
- 2080P0208X
2080P0208X
- Also registered as
- 208000000X
- Licence states on file
- KY, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky