Organization
GURPREET RANDHAWA MD PA
Active
Other names
RANDHAWA PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEIVEN RANDHAWA (MANAGER)
(620) 626-5033
Entity
Organization
Contact information
Practice address
1411 W 15TH ST, #202, LIBERAL, KS 67901-2285
(620) 626-5033
(620) 624-7881
Mailing address
1411 W 15TH ST, #202, LIBERAL, KS 67901-2285
(620) 626-5033
(620) 624-7881
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0428472
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100362020B
—
KS
01
—
103220
BCBS
KS
01
—
110692
BCBS GROUP
KS
Enumeration date
05/09/2007
Last updated
06/04/2012
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