NPI 1003798596

Marissa Ann Koshy, PAC

Practitioner Physician Assistant Cary, NC

Practice location

Address: 820 City Walls St, Cary, NC 27513-1695
Phone: (919) 348-0294

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003798596
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2025
Record last updated: 24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.