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NPI Code Detail

MEDICARE: DARSHAN SINGH RANDHAWA JR. MD

MEDICARE: DARSHAN SINGH RANDHAWA JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery PhysicianW1880TX

General Provider Information

NPI Number : 1063972743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARSHAN SINGH RANDHAWA JR. MD
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-590-8000
Fax Number :
Provider Business Practice Location Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-590-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2019
Last Update Date : 03/18/2026

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