Healthcare Provider Details

I. General information

NPI: 1346168077
Provider Name (Legal Business Name): KARANSHER SINGH RANDHAWA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 PIERCE STREET UNIVERSITY OF IOWA HEALTH CARE
SIOUX CITY IA
51104
US

IV. Provider business mailing address

2501 PIERCE STREET UNIVERSITY OF IOWA HEALTH CARE
SIOUX CITY IA
51104
US

V. Phone/Fax

Practice location:
  • Phone: 712-294-5018
  • Fax:
Mailing address:
  • Phone: 712-294-5018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: