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NPI Code Detail

MEDICARE: MRS. RANDA MINA MD

MEDICARE:  MRS. RANDA  MINA  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
1207R00000XInternal Medicine Physician25MA07656800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174585855
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RANDA MINA MD
Provider Business Mailing Address
First Line : 2087 KLOCKNER RD
Second Line :
City : HAMILTON
State : NJ
Zip : 08690-3416
Country : US
Telephone Number : 609-587-2300
Fax Number : 609-587-8660
Provider Business Practice Location Address
First Line : 252 COUNTY ROAD 601
Second Line :
City : BELLE MEAD
State : NJ
Zip : 08502-3923
Country : US
Telephone Number : 908-281-1574
Fax Number : 908-281-1575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 09/26/2025

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Directions to “ MRS. RANDA MINA MD” Practice Location

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