Provider Demographics
NPI:1861760985
Name:KHOSLA, ANKUR (MD)
Entity type:Individual
Prefix:DR
First Name:ANKUR
Middle Name:
Last Name:KHOSLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 ED ENGLISH DR STE C
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8035
Mailing Address - Country:US
Mailing Address - Phone:281-896-0013
Mailing Address - Fax:713-527-2527
Practice Address - Street 1:255 ED ENGLISH DR STE C
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-8035
Practice Address - Country:US
Practice Address - Phone:281-896-0013
Practice Address - Fax:713-527-2527
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-03
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9722207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine