Abraham, Koshy O

Abraham, Koshy O is an individual health care provider with primary practice located at 1902 Windsor Pl Ste 102 , Fort Worth TX 76110-1866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Abraham, Koshy O can be contacted via phone (682) 207-1700.

Contact Information

Primary practice address
1902 Windsor Pl Ste 102 Fort Worth TX 76110-1866
Fax: (682) 250-5246
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R6325 Texas

Profile Details

NPI number 1780658559
LBN Legal business name Abraham, Koshy O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated May 28th, 2024 - about 6 months 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 1780658559 NPPES
Texas MEDICAID 1780658559
Texas MEDICAID 387344001

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