Organization Name: | GURINDER K RANDHAWA MD INC |
NPI Number: | 1861870230 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GURINDER K RANDHAWA (PRESIDENT) |
Mailing Address: | 2222 East St Suite 375 Concord |
State: | CA US |
Postal Code: | 945202084 |
Phone Number: | 9258265254 |
Fax Number: | 9258265277 |
NPI Enumeration Date: | 05/18/2015 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G67417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |