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1528160132

NPI Code Detail

MEDICARE: KATHLEEN C KOBASHI MD

MEDICARE: KATHLEEN C KOBASHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2088F0040X	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	T3983	TX
2	208800000X	Urology Physician	T3983	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	340017383	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0039595	OTHER	WA	LABOR & INDUSTRY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	KO7561	OTHER	WA	BLUE SHIELD
5	NPI	OTHER		NP:I
6	US2168876	OTHER	WA	AETNA/USHC SPECIALIST
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528160132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN C KOBASHI MD

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 2100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2769
Country	:	US
Telephone Number	:	713-441-6455
Fax Number	:	713-441-6463

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 2100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2769
Country	:	US
Telephone Number	:	713-441-6455
Fax Number	:	713-441-6463

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2006
Last Update Date	:	01/25/2023

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Directions to “ KATHLEEN C KOBASHI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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