Randle, Darrell Wayne

Randle, Darrell Wayne is an individual health care provider with primary practice located at 1601 Ygnacio Valley Rd , Walnut Creek CA 94598-3122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Randle, Darrell Wayne can be contacted via phone (925) 939-3000.

Contact Information

Primary practice address
1601 Ygnacio Valley Rd Walnut Creek CA 94598-3122
Phone: (925) 939-3000
Fax: (925) 947-5286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G75786 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X G75786 California

Profile Details

NPI number 1285662056
LBN Legal business name Randle, Darrell Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 28th, 2016 - about 8 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 1285662056 NPPES
California MEDICAID 00G757860

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