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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811954423 | NPPES |
Texas | MEDICAID | 170313401 | |
Texas | Other | P00196306 |
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