Khosla, Rakesh Kumar

Khosla, Rakesh Kumar is an individual health care provider with primary practice located at 4112 Outlook Blvd Ste 303 , Pueblo CO 81008-1667. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Khosla, Rakesh Kumar can be contacted via phone (719) 557-8600.

Contact Information

Primary practice address
4112 Outlook Blvd Ste 303 Pueblo CO 81008-1667
Phone: (719) 557-8600
Fax: (719) 557-8615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X DR.0026878 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26878 Colorado

Profile Details

NPI number 1952466336
LBN Legal business name Khosla, Rakesh Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952466336 NPPES
Colorado MEDICAID 04131738
Colorado Other P01078514

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