Last name Kozhakkuzhi Parambil Koch (Kozhakkuzhi Parambil Koch 
) , across the world, is an extremely rare surname. The last name Kozhakkuzhi Parambil Koch is habitual in Southern Asia, particularly India, where it is an extremely rare surname.
| VARIANT | COUNTRY |
|---|---|
| Kozhakkuzhi Parambil Koch | India |