Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD61171493 | WA |
N | 207RH0003X | Hematology & Oncology | 2013-01889 | NC |
Y | 207RX0202X | Medical Oncology | MD61171493 | WA |
NPI | 1225072648 |
---|---|
Provider Name | Devinderpal Singh Randhawa |
First Address | Atlanta, GA 30368-7287 |
Second Address | Olympia, WA 98506-5028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 06/07/2021 |