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ERICH GRAHAM RANDOLPH MD NPI 1598703456


NPI Information

NPI: 1598703456
Provider Name: ERICH GRAHAM RANDOLPH, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
320 PARKWAY DR NE
300
ATLANTA, GA
ZIP 30312
Phone: (404) 522-6569
Get Directions

Erich Graham Randolph, MD is a radiation oncology radiology in Atlanta, GA with 45 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Erich Graham Randolph, MD NPI is 1598703456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:1979

The provider's business location address is:

320 PARKWAY DR NE
300
ATLANTA, GA
ZIP 30312-213
Phone: (404) 522-6569
Fax: (404) 522-8265

The NPI 1598703456 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 5/17/2019.


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
1174400000XSpecialist021790GEORGIANo
22085R0001XRadiologyRadiation Oncology021790GEORGIAYes

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
192BBGBZOTHERGEORGIAMEDICARE PROVIDER ID
2000305951NMEDICAIDGEORGIA
3000305951QMEDICAIDGEORGIA
4000305951PMEDICAIDGEORGIA
5000305951SMEDICAIDGEORGIA
6000305951RMEDICAIDGEORGIA
7000305951TMEDICAIDGEORGIA
8000305951MMEDICAIDGEORGIA
9000305951OMEDICAIDGEORGIA
10000305951LMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.