Individual
SANDEEP S RANDHAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
017130
ME
207R00000X
Internal Medicine Physician
Primary
16683
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102320000
—
ME
Enumeration date
05/30/2006
Last updated
02/06/2015
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