Provider Demographics
NPI:1346533841
Name:KOSHY, SIMI (MD)
Entity Type:Individual
Prefix:
First Name:SIMI
Middle Name:
Last Name:KOSHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 I H 45 N STE 220
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-5076
Mailing Address - Country:US
Mailing Address - Phone:936-441-1122
Mailing Address - Fax:936-788-5191
Practice Address - Street 1:4015 I H 45 N STE 220
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-5076
Practice Address - Country:US
Practice Address - Phone:936-441-1122
Practice Address - Fax:936-788-5191
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP4475207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine