Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL DERMATOLOGY, PC
Active OrganizationRANDALL DERMATOLOGY, PC is a Dermatology organization located in WEST LAFAYETTE BRA, Indiana. NPI 1245340488 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WEST LAFAYETTE BRA, IN
Registration Details
- NPI Number
- 1245340488
- Provider Type
- Organization
- NPI Issued
- Aug 30, 2006 (19.992189750902 yrs)
- Last Updated
- Dec 19, 2024
- Licenses
-
01042716 (IN)10000699A (IN)710013695B (IN)71001017A (IN)01042716 (IN)
Practice Information
- Address
-
124 SAGAMORE PKWY WWEST LAFAYETTE BRA, IN, 479061569Browse IN providers · Browse ZIP 47906
- Phone
- 7654636722
- Fax
- 7654630905
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.