Gurpreet Randhawa MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0428472 Issued in KS

Legal business name

GURPREET RANDHAWA MD PA

Practice address

1411 W 15TH St
#202
Liberal, KS 67901-2285

Phone

(620) 626-5033

Fax

(620) 624-7881

NPI assigned

May 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jeiven Randhawa

Title

Manager

Phone

(620) 626-5033

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• RANDHAWA PEDIATRICS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1609080969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W 15TH ST",
            "address_2": "#202",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012285",
            "telephone_number": "620-626-5033",
            "fax_number": "620-624-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 15TH ST",
            "address_2": "#202",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012285",
            "telephone_number": "620-626-5033",
            "fax_number": "620-624-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURPREET RANDHAWA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "JEIVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "620-626-5033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0428472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "103220",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100362020B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "110692",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANDHAWA PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gill Internal Medicine L.L.C.
• Varinder Singh Gill, MD
• Cassie Gipson
• Golden Days Elderly Center
• Grant County Medical Equipment, LLC
• Maria Fernanda Gutierrez, LMSW
• H & R Pharmacy
• Teri Leigh Harp, RPH
• Harrington Orthopedic Clinic
• Sherrie Mashell Harrison, LMSW LAC

• All providers in Liberal, KS
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.