Rakesh Kumar Khosla (NPI# 1952466336, PAC ID# 1355422783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1952466336 |
PAC ID by PECOS | 1355422783 |
Professional Enrollment ID | I20100730000429 |
Full Name | Rakesh Kumar Khosla |
Organization Legal Name | PUEBLO SPORTS AND FAMILY MEDICINE, PLLC |
Address |
1315 Fortino Blvd Suite C Pueblo CO 81008-1981 |
Phone Number | 7195442740 |
Gender | M |
Medical School | BAYLOR COLLEGE OF MEDICINE |
Graduation Year | 1984 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | SPORTS MEDICINE |
Group Practice PAC ID | 5991060253 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060020 | PARKVIEW MEDICAL CENTER INC |
060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
Address | Phone | Organization |
---|---|---|
1315 Fortino Blvd, Suite C, Pueblo, CO 81008-1981 | 7195442740 | PUEBLO SPORTS AND FAMILY MEDICINE, PLLC |
Organization Legal Name | PUEBLO SPORTS AND FAMILY MEDICINE, PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Josey Schomp | Physician Assistant | Pueblo Sports and Family Medicine, Pllc | 1315 Fortino Blvd, Suite C, Pueblo, CO 81008-1981 |
Street Address |
1315 FORTINO BLVD SUITE C |
City | PUEBLO |
State | CO |
Zip | 81008-1981 |
Name | Specialty | Organization | Address |
---|---|---|---|
Moira Annette Sergejev | Nurse Practitioner | Catholic Health Initiatives Colorado | 1315 Fortino Blvd, Pueblo, CO 81008-1981 |
Josey Schomp | Physician Assistant | Pueblo Sports and Family Medicine, Pllc | 1315 Fortino Blvd, Suite C, Pueblo, CO 81008-1981 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashok Patel | Allergy/immunology | 3116 Elizabeth St, Suite A, Pueblo, CO 81008-1145 | |
Gregory J Sanchez | Chiropractic | 3606 Morris Ave, Suite B, Pueblo, CO 81008-1369 | |
Theodore Wilding Davis | Chiropractic | 2505 Kachina Dr, Pueblo, CO 81008-1573 | |
James F Georgis | Optometry | 22 Club Manor Dr, Pueblo, CO 81008-1601 | |
Victoria R Peters | Optometry | 1700 W Hwy 50, Pueblo, CO 81008-1614 | |
Lance Farnworth | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
Damian Gradisar | Nurse Practitioner | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
Matthew P Simonich | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
Robyn B Silver | Physical Therapy | Centura Ventures LLC | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 |
Stephanie Jean Zimbelman | Family Medicine | Catholic Health Initiatives Colorado | 4112 Outlook Blvd, Suite 303, Pueblo, CO 81008-1667 |
Find all physicians in zip 81008 |
City | PUEBLO |
Zip Code | 81008 |
Specialty | FAMILY MEDICINE |
City + Specialty | PUEBLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rakesh Kumar Khosla.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.