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TEJINDER S RANDHAWA MD INC NPI 1588773667


NPI Information

NPI: 1588773667
Provider Name: TEJINDER S RANDHAWA MD INC

Doing Business As: CHILDRENS MEDICAL CENTERS OF FRESNO

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D2148170

Address:
805 FRESNO ST
FRESNO, CA
ZIP 93706
Phone: (559) 455-1500
Get Directions

TEJINDER S RANDHAWA MD INC is a pediatrics in Fresno, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TEJINDER S RANDHAWA MD INC NPI is 1588773667. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Childrens Medical Centers Of Fresno.

The provider's business location address is:

805 FRESNO ST
FRESNO, CA
ZIP 93706-118
Phone: (559) 455-1500
Fax: (559) 253-1302

The provider's authorized official is Tejinder Singh Randhawa .
The authorized official title is Physician/owner and has the following contact phone number (559) 455-1500.

The CLIA number assigned to this NPI record is 05D2148170 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/9/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA53378CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A53378OTHERCALIFORNIAMEDICAL LICENSE
2GR0104700OTHERCALIFORNIAMEDI-CAL GRP#

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: 11/14/2023

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