About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Varghese Charuvila Koshy serves as a trusted medical specialist. Practicing in Richmond Hill, ON, he serves the surrounding communities, providing comprehensive care in Internal Medicine and Geriatric Care. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe, ethical, and evidence-based medical services. Dr. Koshy is dedicated to supporting adults, including older adults and seniors, in maintaining their health and well-being.
He graduated with a Medical Degree from the University of Kerala in 1975 and has completed extensive post-graduate medical training. His certifications include specialized residency and fellowship programs in Internal Medicine and Geriatrics, equipping him with a broad and deep expertise in managing complex adult health conditions. His ongoing commitment to professional development ensures that his practice incorporates the latest advancements and guidelines in adult medicine.
Dr. Koshy’s clinical philosophy is warm and community-focused. He strives to build trusting relationships with his patients, emphasizing personalized care that respects individual values and preferences. Fluent in English, Malayalam, and Tamil, he is able to communicate effectively with diverse patient populations, ensuring clarity and comfort during consultations. His commitment is to serve the Richmond Hill community with compassion, integrity, and excellence in healthcare.
Dr. Koshy provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
Complex Diagnostic & Multi-System Issues
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
Endocrine & Metabolic Disorders
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
Dr. Koshy manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.
- Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
- Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
- Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
- Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
- Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
Note: This list represents some of the key services offered by Dr. Koshy. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Koshy's scope of practice, please discuss with your referring physician or contact the clinic.
All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).
Dr. Koshy’s practice is located in the Observatory area within the Harding neighborhood of Richmond Hill, ON. The clinic is situated within C D U #1, close to the historic Downtown Richmond Hill. Patients can easily access the facility via York Region Transit (YRT) and Viva bus services. The location is convenient for many residents in the community, with a welcoming and accessible environment. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Koshy? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Koshy are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.
- Can I book an appointment directly or do I absolutely need a referral?
- A referral from your family physician or another medical specialist is required to see Dr. Koshy. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.
- Can Dr. Koshy provide advice on healthy aging?
- Yes, as part of a comprehensive assessment, Dr. Koshy can discuss evidence-based strategies for healthy aging. This might include advice on appropriate exercise, nutrition, preventative health screenings, vaccinations, cognitive health maintenance, and managing chronic conditions effectively to promote longevity and well-being.
- What should I bring to my first appointment?
- Please bring:
- Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
- The referral letter if you have it.
- A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
- A list of your past medical history, surgeries, and known allergies.
- Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
- A list of your specific questions or concerns for Dr. Koshy.
C D U #1
205-1650 Elgin Mills Rd E, Canadian Forces Health Services Centre
Richmond Hill, ON L4S 0B2
Phone: (905) 883-8000
The facility is wheelchair accessible.
Dr. Koshy is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Koshy-Varghese-Charuvila/0136729-70968