DEVINDERPAL SINGH RANDHAWA


Address: 566 Ruin Creek Rd, Henderson, NC 27536
Phone: 2524361148

DEVINDERPAL SINGH RANDHAWA (NPI# 1225072648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225072648
Entity Type Individual
Full Name DEVINDERPAL SINGH RANDHAWA
Credential MD
Practice Address 566 Ruin Creek Rd
Henderson
NC 27536
Mailing Address 330 Seven Springs Way
Brentwood
TN 37027-5098
Practice Telephone 2524361148
Practice Fax Number 2524361149
Mailing Telephone 6159207000
Mailing Fax Number 6159208775
Enumeration Date 2006-06-15
Last Update Date 2019-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
2013-01889 NC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2232 Wilborn Ave, Suite D Hematology Oncology Practice of Southside Va PC, South Boston, VA 24592 4345751212

Office Location

Street Address 566 RUIN CREEK RD
City HENDERSON
State NC
Zip Code 27536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841295904 Henderson Emergency Physicians, Pllc Emergency Medicine 566 Ruin Creek Rd, Henderson Emergency Physicians, Henderson, NC 27536-2927 2005-06-16
1639777212 Clarissa Stephens Nurse Practitioner 566 Ruin Creek Rd, Henderson, NC 27536-2927 2020-10-15
1447857016 Victoria Mccloskey Occupational Therapist 566 Ruin Creek Rd, Henderson, NC 27536-2927 2020-10-06
1649883190 Gloria Eun-sun Chun Physician Assistant 566 Ruin Creek Rd, Henderson, NC 27536-5932 2020-08-25
1386270460 Jacob Keith Poe Nurse Anesthetist, Certified Registered 566 Ruin Creek Rd, Henderson, NC 27536-2927 2020-03-20
1821554643 Claudia Kostich Specialist/Technologist 566 Ruin Creek Rd, Henderson, NC 27536-2927 2019-02-17
1407312424 Kevin Austin Rapp Physician Assistant 566 Ruin Creek Rd, Henderson, NC 27536-2927 2019-02-14
1265905780 Shakiera Whyte Nurse Practitioner 566 Ruin Creek Rd, Henderson, NC 27536-2927 2019-01-08
1174006902 Dlp Maria Parham Physician Practices LLC Physician Assistant 566 Ruin Creek Rd, Henderson, NC 27536-2927 2018-09-07
1083197818 Dlp Maria Parham Physician Practices LLC Surgery 566 Ruin Creek Rd, Henderson, NC 27536-2927 2018-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952940926 Lane and Associates Xxxvi Dds Pa Dentist 900 South Garnett St., Henderson, NC 27536 2019-12-23
1487012076 Melissa Burroughs Registered Nurse 943-h W. Andrews Avenue, Henderson, NC 27536 2016-02-10
1578949269 Growth Recovery Opportunity & Wellness Community/Behavioral Health 804 South Garnett St, Henderson, NC 27536 2015-08-04
1003290297 Saintpaulhealthcarept, Inc. Home Health 839 E Montgomery St, Henderson, NC 27536 2015-07-17
1518369859 Kristina Thornton Pharmacist 200 North Cooper Road, Henderson, NC 27536 2014-09-18
1306285135 Green Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 429 Sunnyview Road, Henderson, NC 27536 2013-06-14
1760820278 Innovative Health Services In Home Supportive Care 1758 Parham Street, Henderson, NC 27536 2013-06-06
1578900015 Frances Veronica Finamore Counselor 710 Parham Street, Henderson, NC 27536 2013-05-23
1952530834 Sucessful Achievements Program Incorporated Driver 133 Us 1 A, Norlina, NC 27536 2009-07-13
1407096100 Recovery Response Center Psychiatric Hospital 300 Parkview Drive, Henderson, NC 27536 2009-02-20
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396856506 Arshad Iftekhar Husain Internal Medicine 110 N Water St, Henderson, KY 42420-3142 2006-08-31
1972512390 Paul Michael Internal Medicine 199 Courtney Ann Dr, Henderson, NV 89074 2006-08-05
1083611362 Edgardo Averion Faylona Internal Medicine 58 N Pecos Rd, Henderson, NV 89074-7319 2005-07-01
1295732808 Hyo-jong Park Internal Medicine 2460 W Horizon Ridge Pkwy, Henderson, NV 89052-2648 2005-06-29
1699772210 Russell Patrick Gollard Internal Medicine 3175 Saint Rose Pkwy Fl 2, Henderson, NV 89052-3506 2005-06-29
1235136854 Gilbert Mudiwa Nyamuswa Internal Medicine 10001 S Eastern Ave Ste 301, Henderson, NV 89052 2005-06-29
1538561865 Dlp Maria Parham Physician Practices, LLC Internal Medicine 120 Charles Rollins Rd, Suite 206, Henderson, NC 27536-2882 2014-09-18
1972892750 Jacqueline Malekirad Internal Medicine 3175 Saint Rose Pkwy Fl 2, Henderson, NV 89052 2011-04-01
1285869727 Stephani Dawn Christensen Internal Medicine 1505 Wigwam Pkwy Ste 130, Henderson, NV 89074-8195 2009-05-28
1295990323 Private Diagnostic Clinic, Pllc Internal Medicine 566 Ruin Creek Rd, Henderson, NC 27536-2927 2008-07-29
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Competitor

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City HENDERSON
Zip Code 27536

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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