Individual
DR. PATRICIA RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
11120 NEW HAMPSHIRE AVE STE 504, SILVER SPRING, MD 20904-2618
(301) 593-3200
(301) 593-3900
Mailing address
PO BOX 10614, SILVER SPRING, MD 20914-0614
(301) 593-3200
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00831
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3973773
AETNA
MD
01
—
5016973
CIGNA
MD
01
—
K098 0001
CAREFIRST BCBS
MD
01
—
P00281897
MEDICARE RAILROAD
MD
Enumeration date
12/04/2006
Last updated
07/08/2007
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