Marissa Ann Koshy, PA-C
Physician Assistant in Cary, NC. Individual provider (NPI-1).
NPI number1003798596
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1003798596
- Entity type
- Individual (NPI-1)
- Name
- Marissa Ann Koshy
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2025
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
820 City Walls StCary, NC 27513-1695
Phone 919-348-0294
Mailing address
820 City Walls StCary, NC 27513-1695
Phone 919-348-0294
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