M Tariq Randhawa Medical Practice PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

116454 Issued in NY

Legal business name

M TARIQ RANDHAWA MEDICAL PRACTICE PLLC

Practice address

7630 Seneca Rd N
Hornell, NY 14843-9685

Phone

(607) 324-2353

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Tariq Randhawa, MD

Title

Owner

Phone

(607) 324-2353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• M Tariq Randhawa, M.D.

  • Internal Medicine Physician
  • Hornell, NY
  • NPI 1164476743
  Medicare reassignment NPD
• Rebecca A Sick, FNP-C

  • Family Nurse Practitioner
  • Elmira, NY
  • NPI 1710384474
  Medicare reassignment NPD

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1942555313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 SENECA RD N",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439685",
            "telephone_number": "607-324-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 SENECA RD N",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439685",
            "telephone_number": "607-324-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M TARIQ RANDHAWA MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-324-2353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "116454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott S Lee, M.D.
• Julia F Lewis, PHARM D
• Miranda Leah Lindsay
• Debra Ann Logan
• Keara A Ludu, PT, DPT
• Ma Therapy
• Kathyron Ann Maine, MS, ANP
• Sachin Joseph Manthuruthil, M.D.
• Maple City Pharmacy
• Maple City Physical Therapy, PLLC

• Internal Medicine Physician in Hornell, NY
• Providers in Hornell, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.