DR. RANDEEP S MANN M.D. NPI 1225008378

NPI Information

  • NPI: 1225008378
  • Provider Name: DR. RANDEEP S MANN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 111 SKYLINE DR
    RUSSELLVILLE, AR
    ZIP 72801
  • Phone: (479) 880-8828

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NPI Details

DR. Randeep S Mann, M.D. is a specialist in Russellville, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Randeep S Mann, M.D. NPI is 1225008378. 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:

111 SKYLINE DR
RUSSELLVILLE, AR
ZIP 72801-363
Phone: (479) 880-8828
Fax: (479) 880-8826

The enumeration date for this NPI number is 1/23/2006 and was last updated on 7/9/2007.

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
1174400000XSpecialistE-0385ARKANSASYes

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
1E34606MEDICARE UPINARKANSAS
25J758MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE 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: 11/21/2025

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