Randall Dermatology, Pc in West Lafayette Bra - Dermatology
Randall Dermatology, Pc - NPI 1245340488
Randall Dermatology, Pc is a Dermatology in West Lafayette Bra, Indiana. Randall Dermatology, Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Randall Dermatology, Pc is 1245340488. The last update date is 2020-08-22.
Randall Dermatology, Pc's current location address is 124 Sagamore Pkwy W, West Lafayette Bra, Indiana. You can contact this provider via phone number 7654636722 and fax number 7654630905. The mailing address for Randall Dermatology, Pc is 124 Sagamore Pkwy W, West Lafayette Bra, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randall Dermatology, Pc |
|---|---|
| Address | 124 Sagamore Pkwy W, West Lafayette Bra, Indiana |
| Phone Number | 7654636722 |
| Fax Number | 7654630905 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Randall K John |
| Credentials | RPH,MD |
| Telephone Number | 7654636722 |
NPI Number Detail
| NPI Number | 1245340488 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 124 Sagamore Pkwy W |
|---|---|
| City | West Lafayette Bra |
| State | Indiana (IN) |
| Post Code | 479061569 |
| Phone Number | 7654636722 |
| Fax Number | 7654630905 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 1042716 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Randall Dermatology, Pc by the Centers for Medicare & Medicaid Services?
The Randall Dermatology, Pc has been issued the NPI (National Provider Identifier) 1245340488 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Randall Dermatology, Pc is geographically located?
The Randall Dermatology, Pc is physically situated at the following location: 124 Sagamore Pkwy W, West Lafayette Bra, IN, 479061569.
What is Randall Dermatology, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall Dermatology, Pc's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date did the Randall Dermatology, Pc receive the assignment of its 1245340488 from the Centers for Medicare & Medicaid Services?
The Randall Dermatology, Pc was issued its 1245340488 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information related to Randall Dermatology, Pc most recently updated or refreshed?
The details pertaining to the Randall Dermatology, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.