GURPREET RANDHAWA MD PA NPI 1609080969

NPI Information

  • NPI: 1609080969
  • Provider Name: GURPREET RANDHAWA MD PA
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: RANDHAWA PEDIATRICS
  • Address: 1411 W 15TH ST
    #202
    LIBERAL, KS
    ZIP 67901
  • Phone: (620) 626-5033

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NPI Details

GURPREET RANDHAWA MD PA is a pediatrics in Liberal, KS. 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. GURPREET RANDHAWA MD PA NPI is 1609080969. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Randhawa Pediatrics.

The provider's business location address is:

1411 W 15TH ST
#202
LIBERAL, KS
ZIP 67901-285
Phone: (620) 626-5033
Fax: (620) 624-7881

The provider's authorized official is Jeiven Randhawa .
The authorized official title is Manager and has the following contact phone number (620) 626-5033.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 6/4/2012.

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
1208000000XPediatrics0428472KANSASYes

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
1100362020BMEDICAIDKANSAS
2103220OTHERKANSASBCBS
3H94013MEDICARE UPIN
4110962MEDICARE ID-TYPE UNSPECIFIEDKANSAS
5110692OTHERKANSASBCBS GROUP

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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