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Individual

DR. KOSHY OOMMEN

Active
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Individual

DR. KOSHY OOMMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01058502A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000333114
COMMERCIAL
IN
01
P00117066
RR MEDICARE
IN
01
P01045880
RAILROAD MEDICARE
IN
Enumeration date
10/12/2006
Last updated
03/31/2021
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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