Individual
EKAMJEET RANDHAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S MAIN ST FL 2, FORT WORTH, TX 76104-4917
(817) 702-2977
(817) 702-2140
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT209544
PA
207R00000X
Internal Medicine Physician
T5442
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
T5442
TX
Other
Enumeration date
06/19/2015
Last updated
04/28/2025
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