Organization Name: | RANDY FELDMAN DPM LLC |
NPI Number: | 1720380975 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDY FELDMAN (OWNER/PHYSICAN) |
Mailing Address: | 6905 Rochester Rd Ste. A Troy |
State: | MI US |
Postal Code: | 480851282 |
Phone Number: | 2488281100 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2010 |
NPI Last Update Date: | 03/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |