Randolph, Paul D

Randolph, Paul D is an individual health care provider with primary practice located at 661 S Parkway E , Memphis TN 38106-5617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Randolph, Paul D can be contacted via phone (901) 346-9116.

Contact Information

Primary practice address
661 S Parkway E Memphis TN 38106-5617
Phone: (901) 346-9116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD22024 Tennessee

Profile Details

NPI number 1902898653
LBN Legal business name Randolph, Paul D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Oct 3rd, 2019 - about 7 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 1902898653 NPPES
Tennessee MEDICAID 3373068
Tennessee MEDICAID 3868333

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