Koshy O Abraham (NPI# 1780658559, PAC ID# 0446307599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1780658559 |
| PAC ID by PECOS | 0446307599 |
| Professional Enrollment ID | I20180706000253 |
| Full Name | Koshy O Abraham |
| Organization Legal Name | FORT WORTH RENAL GROUP PA |
| Address |
909 Southeast Pkwy Suite 102 Azle TX 76020-3600 |
| Phone Number | 8172590611 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7416244504 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 909 Southeast Pkwy, Suite 102, Azle, TX 76020-3600 | 8172590611 | FORT WORTH RENAL GROUP PA |
| 3100 N Tarrant Pkwy, Suite 104, Fort Worth, TX 76177-8616 | 8172590611 | FORT WORTH RENAL GROUP PA |
| 4900 Boat Club Rd, Fort Worth, TX 76135-1802 | 8172590611 | FORT WORTH RENAL GROUP PA |
| 711 Pennsylvania Ave, Fort Worth, TX 76104-2222 | 8172590611 | FORT WORTH RENAL GROUP PA |
| Organization Legal Name | FORT WORTH RENAL GROUP PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa P Mathew | Nurse Practitioner | Fort Worth Renal Group Pa | 711 Pennsylvania Ave, Fort Worth, TX 76104-2222 |
| Patrick C Nef | Nephrology | Fort Worth Renal Group Pa | 711 Pennsylvania Ave, Fort Worth, TX 76104-2222 |
| Brittany J Keaton | Nurse Practitioner | Fort Worth Renal Group Pa | 711 Pennsylvania Ave, Fort Worth, TX 76104-2222 |
| Dragana Vujic Kljaic | Nurse Practitioner | Fort Worth Renal Group Pa | 711 Pennsylvania Ave, Fort Worth, TX 76104-2222 |
| Raju Amaregouda Patil | Nephrology | Fort Worth Renal Group Pa | 711 Pennsylvania Ave, Fort Worth, TX 76104-2222 |
| Oladapo Olukayode Afolabi | Nephrology | Fort Worth Renal Group Pa | 711 Pennsylvania Ave, Fort Worth, TX 76104-2222 |
| Street Address |
909 SOUTHEAST PKWY SUITE 102 |
| City | AZLE |
| State | TX |
| Zip | 76020-3600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory G Schwartz | Orthopedic Surgery | 909 Southeast Pkwy, Suite 103, Azle, TX 76020-3600 | |
| Priya Rangasamy | Gastroenterology | Digestive Health Associates of Texas Pa | 909 Southeast Pkwy, Suite 103, Azle, TX 76020-3600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn L Scott | Family Medicine | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| Sandra K Parker | Family Medicine | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| Gary L Hawkins Ii | Physician Assistant | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| John E Carter | Physician Assistant | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| Ricky Gerald Wade | Nurse Practitioner | Texas Health Physicians Group | 141 N Industrial, Azle, TX 76020-2901 |
| Kriss E Myers | Family Medicine | Texas Health Physicians Group | 141 N Industrial, Azle, TX 76020-2901 |
| Mona Eltiar | Nurse Practitioner | Texas Health Physicians Group | 141 N Industrial, Azle, TX 76020-2901 |
| Jamie Sligar Strong | Optometry | 601 Northwest Pkwy B, Azle Vision Source, Azle, TX 76020-2930 | |
| Christopher M Opella | Family Medicine | 601 Northwest Pkwy, Suite C, Azle, TX 76020-2930 | |
| Carl Daniel Jordan | General Surgery | Texas Health Physicians Group | 137 N Industrial, Suite A, Azle, TX 76020-2991 |
| Find all physicians in zip 76020 | |||
| City | AZLE |
| Zip Code | 76020 |
| Specialty | NEPHROLOGY |
| City + Specialty | AZLE + NEPHROLOGY |
Please comment or provide details below to improve the information on Koshy O Abraham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.