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Organization
TEJINDER S RANDHAWA MD INC
Active
Organization
TEJINDER S RANDHAWA MD INC
Active
Other names
CHILDRENS MEDICAL CENTERS OF FRESNO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEJINDER SINGH RANDHAWA MD (PHYSICIAN/OWNER)
(559) 455-1500
Entity
Organization
Contact information
Practice address
805 FRESNO ST, FRESNO, CA 93706-3118
(559) 455-1500
(559) 253-1302
Mailing address
PO BOX 25578, FRESNO, CA 93729-5578
(559) 455-1500
(559) 253-1302
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A53378
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A53378
MEDICAL LICENSE
CA
01
—
GR0104700
MEDI-CAL GRP#
CA
Enumeration date
08/30/2006
Last updated
03/09/2011
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