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Contact Information

DAVID A RANDOLPH, M.D., PH.D.
619 SOUTH 19TH STREET
NHB 525
BIRMINGHAM, AL35294
 Phone: 205-934-4680
 Fax: 205-934-3100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DAVID A RANDOLPH · (Male)

NPI Number 1114074051
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 01/04/2007
Last updated 10/11/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A79066
  • AL Medicaid 009910610
  • AL Other 515-42016 BC BS
  • AL Other 08909026 MISSISSIPPI MEDICAID
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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