Organization Active NPI

Dr Surinda K Randhawa Inc

  • Psychiatry Physician
  • Edmond, OK
National Provider Identifier
1609903756
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18871 Issued in OK
Legal business name
DR SURINDA K RANDHAWA INC
Practice address
13925 Middleberry Rd
Edmond, OK 73013-7039
Phone
(405) 948-7707
Fax
(405) 702-0007
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Mr. Chittranjan Verma
Title
Administrator
Phone
(405) 948-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 18871 OK Primary

Addresses

Primary practice location

13925 Middleberry Rd
Edmond, OK 73013-7039

Mailing address

PO Box 989
Edmond, OK 73083-0989
Phone (405) 948-7707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1609903756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730830989",
            "telephone_number": "405-948-7707",
            "fax_number": "405-702-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 MIDDLEBERRY RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137039",
            "telephone_number": "405-948-7707",
            "fax_number": "405-702-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SURINDA K RANDHAWA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "CHITTRANJAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-948-7707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "18871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.