Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10037092 | TX |
N | 111NI0900X | Internist | BP10037092 | TX |
Y | 207RI0200X | Infectious Disease | P6203 | TX |
NPI | 1023336286 |
---|---|
Provider Name | Janice John Koshy |
First Address | Houston, TX 77084-7310 |
Second Address | Houston, TX 77084-7310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 26/03/2020 |