Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | OS0007402 | FL |
NPI | 1336233204 |
---|---|
Provider Name | Dr. Ravinder Singh Randhawa |
First Address | Delray Beach, FL 33484-6534 |
Second Address | Delray Beach, FL 33484-6534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 18/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G63127 | (02) | FL |