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Individual

DR. RANDOLPH L ROIG

Active
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Individual

DR. RANDOLPH L ROIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
09912R
LA
2081P0004X
Spinal Cord Injury Medicine Physician
09912R
LA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
09912R
LA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
09912R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1680818
LA
01
2395804
PROVIDER # UNITED HEALTHC
LA
01
5508255
PROVIDER # AETNA PPO/POS
LA
01
721419219001
PROVIDER # FOR CIGNA
LA
01
72141921901
STATE GRP PPO/EPO #
LA
01
C8865
BCBS HMO PROVIDER #
LA
Enumeration date
09/07/2006
Last updated
09/20/2023
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