Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prakash G Koshy, MD

Individual provider Diagnostic Radiology Physician · NPI 1215142542

Prakash G Koshy, MD is a Diagnostic Radiology in Williamsport, Pennsylvania. Graduated from Louisiana State University School of Medicine in New Orleans in 2004, 22 years ago. Practices with Susquehanna Imaging Associates, Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
22
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
MI, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 High St
Williamsport, PA 17701-3100
Phone: (570) 322-1161
Fax: (570) 322-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD443613 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301087265 (MI)

Record details

NPI number1215142542
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2007
Last updated in NPPESNovember 1, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2004 (22 years in practice)
Group practice Susquehanna Imaging Associates, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Williamsport