Individual
PRITPAL S RANDHAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 MARSHALL WAY, PLACERVILLE, CA 95667-6533
(530) 626-2787
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-2787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A83324
CA
208M00000X
Hospitalist Physician
Primary
A83324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A833240
—
CA
Enumeration date
09/28/2006
Last updated
12/21/2016
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