Koshy, N. Mathew

Koshy, N. Mathew is an individual health care provider with primary practice located at 5741 Bee Ridge Rd Suite 490, Sarasota FL 34233-5064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Koshy, N. Mathew can be contacted via phone (941) 377-8266.

Contact Information

Primary practice address
5741 Bee Ridge Rd Suite 490 Sarasota FL 34233-5064
Phone: (941) 377-8266
Fax: (941) 378-9545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME33862 Florida

Profile Details

NPI number 1841282076
LBN Legal business name Koshy, N. Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 6th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841282076 NPPES
Florida Other 030402435 TAX ID
Florida Other 79547 TAX ID
Florida MEDICAID 066839700 TAX ID
Florida Other 060068717 TAX ID

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