MEDICARE: SIMI KOSHY 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	207Q00000X	Family Medicine Physician	P4475	TX

General Provider Information

NPI Number	:	1346533841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMI KOSHY MD

Provider Business Mailing Address
First Line	:	4015 I H 45 N STE 220
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-5076
Country	:	US
Telephone Number	:	936-441-1122
Fax Number	:	936-788-5191

Provider Business Practice Location Address
First Line	:	4015 I H 45 N STE 220
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-5076
Country	:	US
Telephone Number	:	936-441-1122
Fax Number	:	936-788-5191

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

Provider Enumeration Date	:	05/17/2011
Last Update Date	:	04/18/2024

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Directions to “ SIMI KOSHY MD” Practice Location

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