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NPI Code Detail

MEDICARE: SHAUN KHOSLA M.D.

MEDICARE:   SHAUN  KHOSLA  M.D.
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
1207X00000XOrthopaedic Surgery PhysicianD0068659MD

General Provider Information

NPI Number : 1801805494
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAUN KHOSLA M.D.
Provider Business Mailing Address
First Line : 11701 LIVINGSTON RD
Second Line : SUITE 105
City : FORT WASHINGTON
State : MD
Zip : 20744-5104
Country : US
Telephone Number : 301-292-7447
Fax Number : 301-292-3278
Provider Business Practice Location Address
First Line : 11701 LIVINGSTON RD
Second Line : SUITE#105
City : FORT WASHINGTON
State : MD
Zip : 20744-5104
Country : US
Telephone Number : 301-292-7447
Fax Number : 301-292-3278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 01/10/2011

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Directions to “ SHAUN KHOSLA M.D.” Practice Location

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