Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pueblo Sports and Family Medicine PLLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1225525132

Pueblo Sports and Family Medicine PLLC is a Sports Medicine (Family Medicine) Physician in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2018.

Licensed in
CO
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1315 Fortino Blvd Ste C
Pueblo, CO 81008-1981
Phone: (719) 544-2740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 543004 (CO)

Record details

NPI number1225525132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rakesh Khosla — President · (719) 544-2740
NPI enumeratedApril 16, 2018
Last updated in NPPESApril 22, 2018
Mailing address1315 Fortino Blvd Ste C, Pueblo, CO 81008-1981

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