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1225072648

NPI Code Detail

MEDICARE: DEVINDERPAL SINGH RANDHAWA MD

MEDICARE: DEVINDERPAL SINGH RANDHAWA 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
1	207RH0000X	Hematology (Internal Medicine) Physician	MD61171493	WA
2	207RX0202X	Medical Oncology Physician	MD61171493	WA
3	207RH0003X	Hematology & Oncology Physician	MD61171493	WA

General Provider Information

NPI Number	:	1225072648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVINDERPAL SINGH RANDHAWA MD

Provider Business Mailing Address
First Line	:	462 GRIDER ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14215-3098
Country	:	US
Telephone Number	:	716-898-5660
Fax Number	:	716-961-6969

Provider Business Practice Location Address
First Line	:	462 GRIDER ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14215-3098
Country	:	US
Telephone Number	:	716-898-5660
Fax Number	:	716-961-6969

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	08/29/2024

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Directions to “ DEVINDERPAL SINGH RANDHAWA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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