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Contact Information

MANJIT S RANDHAWA DO PA
1980 EAST MULBERRY ST
ANGLETON, TX77515
 Phone: 979-848-3068
 Fax: 979-849-1423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MANJIT S RANDHAWA DO PA · (Female)

NPI Number 1235165820
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2006
Last updated 01/07/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # J4464
  • TX Medicaid 168789901
  • Other DC9500 RAILROAD MEDICARE
  • TX Other 0045PZ BLUE SHIELD OF TEXAS
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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