Individual
SUBHASH KHOSLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 JACKSON PIKE, GALLIPOLIS, OH 45631-1539
(740) 446-5129
(740) 446-5622
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-1934
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
14983
WV
2085R0001X
Radiation Oncology Physician
Primary
35-05-3207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007230
ANTHEM BCBS
—
01
—
000000185263
UNISON MEDICAID
OH
01
—
001714041
MOUNTAIN STATE BCBS
—
05
—
0124046000
—
WV
01
—
0625685
MOLINA MEDICAID
OH
05
—
0625685
—
OH
01
—
310971085162
CARESOURCE MEDICAID
OH
01
—
920000406
RR MEDICARE
—
01
—
P00900234
MEDICARE RAILROAD
KY
Enumeration date
05/19/2006
Last updated
05/06/2013
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