Randhawa, Gagandeep
Randhawa, Gagandeep is an sole proprietor health care provider with primary practice located at 5777 W Maple Rd Suite 180, West Bloomfield MI 48322-2267. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Randhawa, Gagandeep can be contacted via phone (248) 539-9084.Contact Information
Primary practice address
5777 W Maple Rd Suite 180
West Bloomfield MI 48322-2267
Phone: (248) 539-9084
Fax: (248) 539-9088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301079646 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301079646 | Michigan |
Profile Details
| NPI number | 1649359506 |
|---|---|
| LBN Legal business name | Randhawa, Gagandeep |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Apr 16th, 2015 - about 9 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 | 1649359506 | NPPES |
| Michigan | MEDICAID | 4945645 |
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