Randhawa, Shahid Rasul

Randhawa, Shahid Rasul is an sole proprietor health care provider with primary practice located at 2510 E Oakland Park Blvd , Fort Lauderdale FL 33306-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Randhawa, Shahid Rasul can be contacted via phone (954) 717-1919.

Contact Information

Primary practice address
2510 E Oakland Park Blvd Fort Lauderdale FL 33306-1601
Phone: (954) 717-1919
Fax: (954) 717-2528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X ME92264 Florida

Profile Details

NPI number 1376532580
LBN Legal business name Randhawa, Shahid Rasul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Nov 5th, 2021 - about 5 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 1376532580 NPPES
Florida Other 16010 BCBS
Florida MEDICAID 003737500 BCBS

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