Provider Demographics
NPI:1326237801
Name:KOSHY, ANITA ANN (MD)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:ANN
Last Name:KOSHY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1501 N CAMPBELL AVE, 6TH FLOOR
Mailing Address - Street 2:DEPARTMENT OF NEUROLOGY, 6TH FLOOR
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724
Mailing Address - Country:US
Mailing Address - Phone:520-694-8888
Mailing Address - Fax:520-694-0235
Practice Address - Street 1:1501 N CAMPBELL AVE, 6TH FLOOR
Practice Address - Street 2:DEPARTMENT OF NEUROLOGY
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721
Practice Address - Country:US
Practice Address - Phone:520-694-8888
Practice Address - Fax:520-694-0235
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2018-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA752542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI13172Medicare UPIN