Sheron M Randolph in Indianapolis - Family Medicine

Sheron M Randolph - NPI 1922022235

Sheron M Randolph is a Family Medicine in Indianapolis, Indiana. Sheron M Randolph practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sheron M Randolph is 1922022235. The last update date is 2022-04-18.

Sheron M Randolph's current location address is 1011 Main St Ste 110, Indianapolis, Indiana. You can contact this provider via phone number 3179579150 and fax number 3179579965. The mailing address for Sheron M Randolph is 1011 Main St Ste 110, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Sheron M Randolph
Address 1011 Main St Ste 110, Indianapolis, Indiana
Phone Number 3179579150
Fax Number 3179579965
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1922022235
Provider Enumeration Date 2006-07-27
Last Updated Date 2022-04-18

Provider Mailing Address Detail

Address 1011 Main St Ste 110
City Indianapolis
State Indiana (IN)
Post Code 462246978
Phone Number 3179579150
Fax Number 3179579965

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01047330A
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200328390 IN --
P01424263 IN RAIL ROAD PTAN
744272 IN BCBS

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FAQs about Sheron M Randolph

What is the unique 10-digit identifier code assigned to Sheron M Randolph by the Centers for Medicare & Medicaid Services?

The Sheron M Randolph has been issued the NPI (National Provider Identifier) 1922022235 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Sheron M Randolph is physically located?

The Sheron M Randolph is situated at the following address: 1011 Main St Ste 110, Indianapolis, IN 462246978.

What is Sheron M Randolph's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sheron M Randolph's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1922022235 to Sheron M Randolph?

The Sheron M Randolph received its 1922022235 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.

When was the information regarding Sheron M Randolph, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sheron M Randolph, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-04-18.

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