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Individual

MR. FAISAL JAWED RANDHAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A-C

Contact information

Practice address
2435 W BELVEDERE AVE, BALTIMORE, MD 21215-5224
(410) 601-6340
(410) 601-5638
Mailing address
2435 W BELVEDERE AVE, BALTIMORE, MD 21215-5224
(410) 601-6340
(410) 601-5638

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
C0003381
MD
363AS0400X
Surgical Physician Assistant
C0003381
MD

Other

Enumeration date
02/01/2007
Last updated
10/21/2019
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