Gould, Randolph

Gould, Randolph is an individual health care provider with primary practice located at 880 Kempsville Rd Ste. 1000, Norfolk VA 23502-3931. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gould, Randolph can be contacted via phone (757) 261-5000.

Contact Information

Primary practice address
880 Kempsville Rd Ste. 1000 Norfolk VA 23502-3931
Phone: (757) 261-5000
Fax: (757) 962-5610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101035211 Virginia

Profile Details

NPI number 1497750780
LBN Legal business name Gould, Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Nov 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497750780 NPPES
Virginia MEDICAID 007307781

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