Individual
DR. N. MATHEW KOSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5741 BEE RIDGE RD, SUITE 490, SARASOTA, FL 34233-5064
(941) 377-8266
(941) 378-9545
Mailing address
5741 BEE RIDGE RD, SUITE 490, SARASOTA, FL 34233-5064
(941) 377-8266
(941) 378-9545
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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