Randolph, David Alan
Randolph, David Alan is an individual health care provider with primary practice located at 619 South 19Th Street Nhb 525, Birmingham AL 35294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Randolph, David Alan can be contacted via phone (205) 934-4680.Contact Information
Primary practice address
619 South 19Th Street Nhb 525
Birmingham AL 35294
Phone: (205) 934-4680
Fax: (205) 934-3100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | A79066 | California |
Profile Details
| NPI number | 1114074051 |
|---|---|
| LBN Legal business name | Randolph, David Alan |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Oct 11th, 2007 - about 17 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 | 1114074051 | NPPES |
| Alabama | MEDICAID | 009910610 | |
| Alabama | Other | 08909026 | |
| Alabama | Other | 515-42016 |
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