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Individual

SOSA VARGHESE KOCHERIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBBS

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301070471
MI
207RR0500X
Rheumatology Physician
Primary
4301070471
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4764532
MI
Enumeration date
10/25/2006
Last updated
08/17/2021
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