Shibu Koshy, CRNA | |
1515 Holcombe Blvd, Houston, TX 77030-4000 | |
(713) 792-6161 | |
Not Available |
Full Name | Shibu Koshy |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 1515 Holcombe Blvd, Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467761825 | NPI | - | NPPES |
218131502 | Medicaid | TX | |
218131504 | Other | TX | CSHCN TPI |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hermann Hospital System | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Referral Service | 7911801410 | 2406 |
Texans Anesthesia Associates Pllc | 8820171390 | 190 |
Entity Name | Physicians Referral Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
Entity Name | Texans Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275733982 PECOS PAC ID: 8820171390 Enrollment ID: O20080207000456 |
Mailing Address | Practice Location Address |
---|---|
Shibu Koshy, CRNA Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991 | Shibu Koshy, CRNA 1515 Holcombe Blvd, Houston, TX 77030-4000 Ph: (713) 792-6161 |
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