Shaw, Koushik K.

Shaw, Koushik K. is an sole proprietor health care provider with primary practice located at 12319 N Mopac Expy Suite 200, Austin TX 78758-2414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shaw, Koushik K. can be contacted via phone (512) 694-8888.

Contact Information

Primary practice address
12319 N Mopac Expy Suite 200 Austin TX 78758-2414
Phone: (512) 694-8888
Fax: (512) 973-3036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X M0272 Texas

Profile Details

NPI number 1811954423
LBN Legal business name Shaw, Koushik K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Jun 12th, 2013 - about 13 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 1811954423 NPPES
Texas MEDICAID 170313401
Texas Other P00196306

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