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General NPI Number Information
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NPI Number | 1861760985
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Entity Type | Individual
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Provider Name | ANKUR KHOSLA MD
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Gender | Male
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Dates
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Enumeration Date | 12/03/2011
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 255 ED ENGLISH DR STE C
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City | SHENANDOAH
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State | TX
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Zip | 77385-8035
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Country | US
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Telephone | 281-896-0013
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Fax | 713-527-2527
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Provider Business Mailing Address
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Address Line | 255 ED ENGLISH DR STE C
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City | SHENANDOAH
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State | TX
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Zip | 77385-8035
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Country | US
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Telephone | 281-896-0013
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Fax | 713-527-2527
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | N9722
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | N9722
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License Number State | TX
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