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Contact Information

TODD L RANDOLPH, MD
5100 TALLEY RD STE 300
LITTLE ROCK, AR72204-8040
 Phone: 501-500-6640
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for TODD L RANDOLPH · (Male)

NPI # 1740249192
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2006
Last updated 12/17/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • AR License # E15550
  • IN License # 01082681A
  • UT License # 318197-1205
  • UT Medicaid 870326048001D1686
  • IN Other 068010881 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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