Randolph, Felicia R.
Randolph, Felicia R. is an individual health care provider with primary practice located at 2888 W Grand Blvd , Detroit MI 48202-2612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Randolph, Felicia R. can be contacted via phone (313) 875-5377.Contact Information
Primary practice address
2888 W Grand Blvd
Detroit MI 48202-2612
Phone: (313) 875-5377
Fax: (313) 875-5727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301074153 | Michigan |
Profile Details
| NPI number | 1710986450 |
|---|---|
| LBN Legal business name | Randolph, Felicia R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Sep 24th, 2018 - about 8 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 | 1710986450 | NPPES |
| Michigan | MEDICAID | 4583949 |
Popular Providers
-
Zoiopoulos, Lynn Y
7430 2Nd Ave Suite 210, Detroit MI 48202-2739 -
Attanasio, Franco A
19460 Grand River Ave , Detroit MI 48223-1200 -
Mahmood, Ali H
13031 Conant St , Detroit MI 48212-2361 -
Dukaj, Mark
22201 Moross Rd Ste 150, Detroit MI 48236-2169 -
Gorrepati, Uma D
4160 John R St Suite 730, Detroit MI 48201-2020 -
Rouf, Mohamed-Iqbal Pasha
2799 W Grand Blvd # 417 , Detroit MI 48202-2608 -
Rehman, Touseef
Henry Ford Medical Group - Detroit Northwest 7800 W Outer Drive, Detroit MI 48235 -
Wendt, Beth M
22201 Moross Rd Suite 150, Detroit MI 48236-2169