Individual
DR. VIJAY RAMCHANDRA RANDIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6932J MARKET STREET, WILMINGTON, NC 28411
(910) 799-1249
(910) 799-1249
Mailing address
6932J MARKET STREET, WILMINGTON, NC 28411
(910) 799-1249
(910) 799-0641
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
271183-01
NY
207P00000X
Emergency Medicine Physician
47297
KY
207P00000X
Emergency Medicine Physician
77729
MN
207P00000X
Emergency Medicine Physician
77729
SD
207P00000X
Emergency Medicine Physician
MD0000026562
TN
207Q00000X
Family Medicine Physician
16556
SC
207Q00000X
Family Medicine Physician
17879
OK
207Q00000X
Family Medicine Physician
9300288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0265L
BCBS
NC
01
—
70188
BCBS
NC
05
—
890265L
—
NC
05
—
8970188
—
NC
Enumeration date
09/22/2006
Last updated
09/23/2024
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