Sellers, Randall E

Sellers, Randall E is an individual health care provider with primary practice located at 4411 The 25 Way Ne Suite 150, Albuquerque NM 87109-5857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sellers, Randall E can be contacted via phone (505) 332-6900.

Contact Information

Primary practice address
4411 The 25 Way Ne Suite 150 Albuquerque NM 87109-5857
Fax: (505) 332-6921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD 019240 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18340 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2013-0672 New Mexico

Profile Details

NPI number 1558352138
LBN Legal business name Sellers, Randall E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 6th, 2026 - about 2 months 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 1558352138 NPPES
Mississippi MEDICAID 00113321
Mississippi Other 300054356
Mississippi MEDICAID 1962945
Mississippi MEDICAID 46678735

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