# RAVI S RANDHAWA DO PA

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

## Provider details

- **NPI number:** 1275720179
- **Authorized official:** MS. PEG SADOWSKI (MANAGER)
- **Authorized official phone:** (561) 638-8505

## Contact information

- **Practice address:** 16244 S MILITARY TRL, SUITE 710, DELRAY BEACH, FL 33484-6534
- **Practice address phone:** (561) 638-8505
- **Practice address fax:** (561) 638-8504
- **Mailing address:** 16244 S MILITARY TRL, SUITE 710, DELRAY BEACH, FL 33484-6534
- **Mailing address phone:** (561) 638-8505
- **Mailing address fax:** (561) 638-8504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | OS0007402 | FL | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 07/20/2015