Individual
DR. SANTHOSH KOSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1722 SHAFFER ST STE 1, KALAMAZOO, MI 49048-1633
(269) 381-3963
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-8336
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M2993
TX
207RC0000X
Cardiovascular Disease Physician
PENDING
TN
207RI0011X
Interventional Cardiology Physician
Primary
4301506296
MI
207RI0011X
Interventional Cardiology Physician
43424
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176385601
—
TX
Enumeration date
10/17/2006
Last updated
04/07/2022
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