MEDICARE: DR. RANDA OSMAN DIRAR SALIH

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1255279998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDA OSMAN DIRAR SALIH

Provider Business Mailing Address
First Line	:	6100 HOLIDAY LN APT 108
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-9343
Country	:	US
Telephone Number	:	651-313-2967
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 HOLIDAY LN APT 108
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-9343
Country	:	US
Telephone Number	:	651-313-2967
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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