RANDALL R. WALTER M.D. NPI 1275601916

NPI Information

NPI: 1275601916
Provider Name: RANDALL R. WALTER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
HENRY FORD HEALTH SYSTEM
19401 HUBBARD DRIVE
DEARBORN, MI
ZIP 48126
Phone: (313) 982-8370
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Randall R. Walter, M.D. is a diagnostic radiology radiology in Dearborn, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Randall R. Walter, M.D. NPI is 1275601916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

HENRY FORD HEALTH SYSTEM
19401 HUBBARD DRIVE
DEARBORN, MI
ZIP 48126
Phone: (313) 982-8370
Fax: (313) 982-8165

The enumeration date for this NPI number is 12/1/2006 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	4301041028	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	700H262300	OTHER		BLUE CROSS-BLUE CROSS
2	137318910	MEDICAID	MICHIGAN
3	B49131	MEDICARE UPIN
4	0H26230019	MEDICARE ID-TYPE UNSPECIFIED
5	RW041028	OTHER		CHAMPUS-CHAMPUS
6	RW041028	OTHER		COMMERCIAL-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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