Healthcare Provider Details

I. General information

NPI: 1063915825
Provider Name (Legal Business Name): JASKIRAN KAUR KHOSA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2018
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 E KASHIAN LN STE 280
FRESNO CA
93701-2211
US

IV. Provider business mailing address

2335 E KASHIAN LN STE 280
FRESNO CA
93701-2211
US

V. Phone/Fax

Practice location:
  • Phone: 559-256-5130
  • Fax: 559-485-4504
Mailing address:
  • Phone: 559-256-5130
  • Fax: 559-485-4504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA174085
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA174085
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA174085
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: