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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831155373 | NPPES |
| South Carolina | MEDICAID | GP4819 |
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