Individual
DR. N. MATHEW KOSHY
Active
Individual
DR. N. MATHEW KOSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME33862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030402435
TAX ID
FL
01
—
060068717
MEDICARE RR
FL
05
—
066839700
—
FL
01
—
79547
BCBS
FL
Enumeration date
08/15/2005
Last updated
08/06/2010
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