Organization
RUPDEV S. KHOSA, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPDEV K. KHOSA M.D. (PRESIDENT)
(626) 445-7500
Entity
Organization
Contact information
Practice address
550 W DUARTE RD, #4, ARCADIA, CA 91007-7331
(626) 445-7500
(626) 445-7555
Mailing address
550 W DUARTE RD, #4, ARCADIA, CA 91007-7331
(626) 445-7500
(626) 445-7555
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A54411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A544110
—
CA
01
—
250011214
RAILROAD MEDICARE
CA
01
—
A54411
MEDICARE - PALMETTO GBA
CA
Enumeration date
09/01/2010
Last updated
03/17/2015
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