Individual
MOHINDER P. S. RANDHAWA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-2201
(606) 218-4651
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2201
(606) 218-4651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P8300
TX
2086S0129X
Vascular Surgery Physician
P8300
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35461
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G86803
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
P8300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200513970A
—
OK
05
—
3289969901
—
TX
05
—
64999568
—
KY
Enumeration date
07/12/2006
Last updated
08/02/2022
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