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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649359506 NPPES
Michigan MEDICAID 4945645

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