Organization
GAGANDEEP RANDHAWA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJITPAL RANDHAWA (SECRETARY)
(248) 539-9084
Entity
Organization
Contact information
Practice address
5777 W MAPLE RD, SUITE 180, WEST BLOOMFIELD, MI 48322-2267
(248) 539-9084
(248) 539-9088
Mailing address
7225 CARLYLE XING, WEST BLOOMFIELD, MI 48322-3280
(248) 539-9084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945645
—
MI
Enumeration date
11/02/2006
Last updated
04/16/2015
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