Individual
SUNDEEP KHOSLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
31606
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110025680
RAILROAD MEDICARE
MN
05
—
35176300
—
WI
05
—
495019400
—
MN
05
—
ENROLLED
—
ID
05
—
ENROLLED
—
MN
Enumeration date
01/04/2006
Last updated
08/14/2020
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