# MICHAEL A. RANDOLPH, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225211360
- **Authorized official:** DR. MICHAEL A RANDOLPH M.D. (OWNER)
- **Authorized official phone:** (410) 261-8977

## Contact information

- **Practice address:** 200 E 33RD ST, SUITE 136, BALTIMORE, MD 21218-3322
- **Practice address phone:** (410) 261-8997
- **Practice address fax:** (410) 337-0385
- **Mailing address:** 200 E 33RD ST, SUITE 136, BALTIMORE, MD 21218-3322
- **Mailing address phone:** (410) 261-8997
- **Mailing address fax:** (410) 337-0385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0034680 | MD | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 12/12/2007