DR. FELICIA R. RANDOLPH


Address: 2888 W Grand Blvd, Detroit, MI 48202-2612
Phone: 3138755377

DR. FELICIA R. RANDOLPH (NPI# 1710986450) 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) 1710986450
Entity Type Individual
Full Name DR. FELICIA R. RANDOLPH
Credential MD
Practice Address 2888 W Grand Blvd
Detroit
MI 48202-2612
Mailing Address 2700 Hamlin Blvd
Inkster
MI 48141-2206
Practice Telephone 3138755377
Practice Fax Number 3138755727
Mailing Telephone 3135615100
Mailing Fax Number 3135615100
Enumeration Date 2005-07-15
Last Update Date 2018-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301074153 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4583949 05

Office Location

Street Address 2888 W GRAND BLVD
City DETROIT
State MI
Zip Code 48202-2612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518479559 Noureyah Rageh Nurse Practitioner 2888 W Grand Blvd, Detroit, MI 48202-2612 2017-10-31
1245741206 Danita Mayes Dixon Nurse Practitioner 2888 W Grand Blvd, Detroit, MI 48202-2612 2017-10-18
1154862787 Kimberly Louise Thornton Pharmacist 2888 W Grand Blvd, Detroit, MI 48202-2612 2017-03-15
1548638380 Fareeha Nadeem Counselor 2888 W Grand Blvd, Detroit, MI 48202-2612 2015-09-10
1407259674 Bakari Wallace Social Worker 2888 W Grand Blvd, Detroit, MI 48202-2612 2014-10-02
1720405418 Brittney Daftuar Social Worker 2888 W Grand Blvd, Detroit, MI 48202-2612 2014-03-19
1801148911 The Wellness Plan Medical Centers Dentist 2888 W Grand Blvd, Detroit, MI 48202-2612 2012-10-12
1780953059 Stephanie L Gray Counselor 2888 W Grand Blvd, Suite 360, Detroit, MI 48202-2612 2011-12-15
1497052583 Gayatri Sham Joshi Physical Therapist 2888 W Grand Blvd, Detroit, MI 48202-2612 2011-02-25
1134355902 Gateway Obgyn Associates Pllc Obstetrics & Gynecology 2888 W Grand Blvd, St. 287, Detroit, MI 48202-2612 2009-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093329849 Hey Doc, P.C. Internal Medicine 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 2020-08-31
1134744998 Harish Harry Gidda Internal Medicine 22201 Moross Rd, Suite 50, Detroit, MI 48236 2020-06-08
1770107443 Arshan Ali Khan Internal Medicine 22101 Moross Rd, Suite 50, Detroit, MI 48236 2020-05-29
1871053751 Jacob Diskin Internal Medicine 4201 St. Antione, Uhc 9c, Detroit, MI 48201 2019-03-25
1770092272 Daniel Saul Mizrahi Internal Medicine 7633 E Jefferson Ave Ste 250, Detroit, MI 48214-3731 2017-09-27
1700304912 Premier Care Rehabilitation Internal Medicine 10641 W Mcnichols Rd, Detroit, MI 48221-2303 2017-09-07
1427400431 Aryan Shiari Internal Medicine 3990 John R St Rm Room3925, Detroit, MI 48201-2018 2016-07-01
1700236478 Osh-mi Physicians Group PC Internal Medicine 18600 Fenkell St, Detroit, MI 48223-2315 2016-06-14
1184070815 Khalil Ibrahim Bourji Internal Medicine 4201 Saint Antoine St Ste 4h, Detroit, MI 48201 2016-05-12
1124403779 Swetha Edla Internal Medicine 22101 Moross Road Pb Suite 50, Detroit, MI 48236 2015-07-24
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Competitor

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City DETROIT
Zip Code 48202

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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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