MEDICARE: RISHABH KHASHOO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1154116077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RISHABH KHASHOO MD

Provider Business Mailing Address
First Line	:	3401 NORTH BLVD STE 130
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3743
Country	:	US
Telephone Number	:	225-387-7900
Fax Number	:	225-281-2737

Provider Business Practice Location Address
First Line	:	3401 NORTH BLVD STE 130
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3743
Country	:	US
Telephone Number	:	225-387-7900
Fax Number	:	225-381-2737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2025
Last Update Date	:	06/30/2026

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