Individual
SHAHID RASUL RANDHAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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