Khosla, Sandeep

Khosla, Sandeep is an individual health care provider with primary practice located at 1501 S California Ave , Chicago IL 60608. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Khosla, Sandeep can be contacted via phone (773) 257-6452.

Contact Information

Primary practice address
1501 S California Ave Chicago IL 60608
Phone: (773) 257-6452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-083308 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-083308 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036083308 Illinois

Profile Details

NPI number 1376544312
LBN Legal business name Khosla, Sandeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Jan 25th, 2011 - about 13 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 1376544312 NPPES
Illinois MEDICAID 036-083308-2

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