Randolph, David M.

Randolph, David M. is an individual health care provider with primary practice located at 5900 Lake Wright Dr Ste B , Norfolk VA 23502-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Randolph, David M. can be contacted via phone (757) 213-5770.

Contact Information

Primary practice address
5900 Lake Wright Dr Ste B Norfolk VA 23502-1871
Phone: (757) 213-5770
Fax: (757) 627-0334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0101 036962 Virginia

Profile Details

NPI number 1447216866
LBN Legal business name Randolph, David M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 7th, 2009 - about 17 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 1447216866 NPPES
Virginia Other PAR USA MANAGED CARE
Virginia Other 10035953 USA MANAGED CARE
Virginia Other 10259 USA MANAGED CARE
Virginia Other PAR USA MANAGED CARE
Virginia MEDICAID 5910259 USA MANAGED CARE
Virginia Other 6181967 USA MANAGED CARE
Virginia Other PAR USA MANAGED CARE
Virginia Other PAR USA MANAGED CARE
Virginia Other PAR USA MANAGED CARE
Virginia Other PAR USA MANAGED CARE
Virginia MEDICAID 1447216866 USA MANAGED CARE
Virginia Other 359100 USA MANAGED CARE
Virginia Other PAR USA MANAGED CARE
Virginia Other 9841062 USA MANAGED CARE
Virginia Other PAR USA MANAGED CARE

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