Mina, Randa
Mina, Randa is an sole proprietor health care provider with primary practice located at 2087 Klockner Rd , Trenton NJ 08690. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mina, Randa can be contacted via phone (609) 587-2300.Contact Information
Primary practice address
2087 Klockner Rd
Trenton NJ 08690
Phone: (609) 587-2300
Fax: (609) 587-8660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07656800 | New Jersey |
Profile Details
| NPI number | 1174585855 |
|---|---|
| LBN Legal business name | Mina, Randa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jul 12th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174585855 | NPPES |
| New Jersey | MEDICAID | 0029726 |
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