Mary Koshy in Bradenton - Radiation Oncology

Mary Koshy - NPI 1609972967

Mary Koshy is a Radiation Oncology in Bradenton, Florida. Mary Koshy practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Mary Koshy is 1609972967. The last update date is 2022-09-12.

Mary Koshy's current location address is 5325 E State Road 64, Bradenton, Florida. You can contact this provider via phone number 9412206263 and fax number 3864909100. The mailing address for Mary Koshy is 5325 E State Road 64, Bradenton, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Koshy
Address 5325 E State Road 64, Bradenton, Florida
Phone Number 9412206263
Fax Number 3864909100
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1609972967
Provider Enumeration Date 2006-09-15
Last Updated Date 2022-09-12

Provider Mailing Address Detail

Address 5325 E State Road 64
City Bradenton
State Florida (FL)
Post Code 342085534
Phone Number 9412206263
Fax Number 3864909100

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No ME92795
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17238 FL BCBS OF FL
505100 FL WELLCARE
P00898040 FL RR MEDICARE
P983665 FL FREEDOM HEALTH
P01257637 FL RAILROAD MCR
P940526 FL OPTIMUM
PT091 FL MEDICARE
309040 FL AVMED
278934500 FL --
P502151 FL --

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FAQs about Mary Koshy

What is the Mary Koshy's unique identification number?

The Mary Koshy has been assigned the NPI (National Provider Identifier) Number 1609972967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Mary Koshy's facilities are situated?

The facilities of Mary Koshy are physically located at the following address: 5325 E State Road 64, Bradenton, FL, 342085534.

What is Mary Koshy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary Koshy is Radiation Oncology, and the taxonomy code that categorizes this field of expertise is 2085R0001X.

On what date did the Mary Koshy receive the assignment of its 1609972967 from the Centers for Medicare & Medicaid Services?

The Mary Koshy was issued its 1609972967 by the Centers for Medicare & Medicaid Services on 2006-09-15.

When was the information related to Mary Koshy most recently updated or refreshed?

The details pertaining to the Mary Koshy, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-09-12.

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