Organization
RANDOLPH PULMONARY & SLEEP CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANVIR CHODRI MD (PARTNER)
(336) 633-4020
Entity
Organization
Contact information
Practice address
610 N FAYETTEVILLE ST, SUITE 300, ASHEBORO, NC 27203-4670
(336) 633-4020
(336) 633-4069
Mailing address
610 N FAYETTEVILLE ST, SUITE 300, ASHEBORO, NC 27203-4670
(336) 633-4020
(336) 633-4069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016NJ
BCBS GROUP NUMBER
NC
01
—
4800358
UNITED HEALTHCARE GROUP
NC
05
—
89016NJ
—
NC
Enumeration date
01/31/2007
Last updated
02/26/2020
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