Individual
SHAHID RASUL RANDHAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL 33306-1601
(954) 717-1919
(954) 717-2528
Mailing address
5333 N DIXIE HWY, STE 109, OAKLAND PARK, FL 33334-3453
(954) 717-1919
(954) 717-2528
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME92264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003737500
—
FL
01
—
16010
BCBS
FL
Enumeration date
10/19/2005
Last updated
11/05/2021
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