Individual
DR. KANWALDEEP SINGH RANDHAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MEDICAL PLAZA DR, SUITE 190, ROSEVILLE, CA 95661-2865
(916) 786-7498
(916) 786-2715
Mailing address
1300 ETHAN WAY, STE 600, SACRAMENTO, CA 95825-2296
(916) 786-7498
(916) 786-2715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A92776
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A92776
CA
207RP1001X
Pulmonary Disease Physician
Primary
A92776
CA
Other
Enumeration date
05/08/2007
Last updated
07/06/2021
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