Individual
DR. RAKESH KUMAR KHOSLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4112 OUTLOOK BLVD STE 303, PUEBLO, CO 81008-1667
(719) 557-8600
(719) 557-8615
Mailing address
4112 OUTLOOK BLVD STE 303, PUEBLO, CO 81008-1667
(719) 557-8600
(719) 557-8615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26878
CO
207QS0010X
Sports Medicine (Family Medicine) Physician
DR.0026878
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04131738
—
CO
01
—
P01078514
MEDICARE RAILROAD
CO
Enumeration date
12/26/2006
Last updated
03/17/2018
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