Rakesh Kumar Khosla
PUEBLO SPORTS AND FAMILY MEDICINE, PLLC


Address: 1315 Fortino Blvd, Suite C, Pueblo, CO 81008-1981
Phone: 7195442740

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060020 PARKVIEW MEDICAL CENTER INC
060012 ST MARY CORWIN MED CTR, CENTURA HEALTH

Other Locations

Address Phone Organization
1315 Fortino Blvd, Suite C, Pueblo, CO 81008-1981 7195442740 PUEBLO SPORTS AND FAMILY MEDICINE, PLLC

Organization Information

Organization Legal Name PUEBLO SPORTS AND FAMILY MEDICINE, PLLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Josey Schomp Physician Assistant Pueblo Sports and Family Medicine, Pllc 1315 Fortino Blvd, Suite C, Pueblo, CO 81008-1981

Office Location

Street Address 1315 FORTINO BLVD
SUITE C
City PUEBLO
State CO
Zip 81008-1981

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City PUEBLO
Zip Code 81008
Specialty FAMILY MEDICINE
City + Specialty PUEBLO + FAMILY MEDICINE

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Dataset Information

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.

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