Kodroff, Randi M

Kodroff, Randi M is an individual health care provider with primary practice located at 1005 N Glebe Rd Suite 400, Arlington VA 22201-5718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kodroff, Randi M can be contacted via phone (571) 492-3045.

Contact Information

Primary practice address
1005 N Glebe Rd Suite 400 Arlington VA 22201-5718
Phone: (571) 492-3045
Fax: (571) 492-3046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102203317 Virginia

Profile Details

NPI number 1831155373
LBN Legal business name Kodroff, Randi M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831155373 NPPES
South Carolina MEDICAID GP4819

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