Active NPI
Munroop Randhawa, MD
- Family Medicine Physician
- Burton, MI
National Provider Identifier
1467564500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301072827
- Practice address
- 3495 S Center Rd
Burton, MI 48519-1455 - Phone
- (810) 424-2007
- Fax
- (810) 743-1099
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301072827 | MI | Primary |
Addresses
Primary practice location
3495 S Center Rd
Burton, MI 48519-1455
Mailing address
10019 Miller Rd
Swartz Creek, MI 48473-8590
Phone (810) 635-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4507043 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301072827 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesys Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1467564500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10019 MILLER RD",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "484738590",
"telephone_number": "810-635-4476",
"fax_number": "810-635-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485191455",
"telephone_number": "810-424-2007",
"fax_number": "810-743-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDHAWA",
"first_name": "MUNROOP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301072827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4507043",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.