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Contact Information

VIJAY R RANDIVE, MD
6932J MARKET STREET
WILMINGTON, NC28411
 Phone: 910-799-1249
 Fax: 910-799-1249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VIJAY R RANDIVE · (Male)

NPI Number 1194824177
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 09/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 47297
  • MN License # 77729
  • NC License # 9300288
  • NY License # 271183-01
  • OK License # 17879
  • SC License # 16556
  • SD License # 77729
  • TN License # MD0000026562
  • NC Medicaid 890265L
  • NC Medicaid 8970188
  • NC Other 0265L BCBS
  • NC Other 70188 BCBS
Hospital affiliation(s)
  • ASHE MEMORIAL HOSPITAL - (Critical Access)
    200 HOSPITAL AVE
    JEFFERSON, NC 28640
  • BETSY JOHNSON REGIONAL HOSPITAL - (Acute Care)
    800 TILGHMAN DR
    DUNN, NC 28334
  • MARIA PARHAM MEDICAL CENTER - (Acute Care)
    PO BOX 59
    HENDERSON, NC 27536
  • PONCA CITY MEDICAL CENTER - (Acute Care)
    1900 NORTH 14TH STREET
    PONCA CITY, OK 74601
  • UNITED HEALTH SERVICES HOSPITALS INC - (Acute Care)
    33-57 HARRISON STREET
    JOHNSON CITY, NY 13790
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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