Renzi, Randolph H

Renzi, Randolph H is an individual health care provider with primary practice located at 1880 Amherst Street Suite 100 And Suite 200, Winchester VA 22601-2872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Renzi, Randolph H can be contacted via phone (540) 662-0306.

Contact Information

Primary practice address
1880 Amherst Street Suite 100 And Suite 200 Winchester VA 22601-2872
Fax: (855) 264-2066
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 18128 West Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0101045302 Virginia

Profile Details

NPI number 1275512550
LBN Legal business name Renzi, Randolph H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Dec 7th, 2022 - about 2 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 1275512550 NPPES
West Virginia MEDICAID 0085714000
West Virginia Other 000674642
West Virginia Other 502807
West Virginia MEDICAID 006036155
West Virginia Other 9318661
West Virginia MEDICAID 091241700
West Virginia Other 16284
West Virginia Other 068565
West Virginia Other 2119598
West Virginia Other C00075

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