Dr Randoll Terry Christopher, MD | |
1500 Lansdowne Ave, Darby, PA 19023-1200 | |
(646) 591-6241 | |
Not Available |
Full Name | Dr Randoll Terry Christopher |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1500 Lansdowne Ave, Darby, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356863146 | NPI | - | NPPES |
119360700 | Medicaid | FL | |
MUIAA | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME163123 (Florida) | Primary |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
Mailing Address | Practice Location Address |
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Dr Randoll Terry Christopher, MD Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Dr Randoll Terry Christopher, MD 1500 Lansdowne Ave, Darby, PA 19023-1200 Ph: (646) 591-6241 |
Dr. Kanika Trehan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Lansdowne Ave Ste 307, Darby, PA 19023 Phone: 610-534-6170 | |
Ali S Ahmadinejad, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Lansdowne Ave, Suite 207, Darby, PA 19023 Phone: 610-534-6210 Fax: 610-534-6209 | |
Leon E Clarke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Lansdowne Ave Ste 210, Darby, PA 19023 Phone: 610-534-6170 Fax: 610-534-6159 | |
Dr. Prashanth R Ramachandra, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Lansdowne Ave, Suite 307, Darby, PA 19023 Phone: 610-534-6170 Fax: 610-534-6159 | |
Dr. Karen J Kish, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Lansdowne Ave Ste G103, Darby, PA 19023 Phone: 610-237-7922 | |
Mardavij Hamedani, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 1500 Lansdowne Ave, M.s # 078, Darby, PA 19023 Phone: 513-405-2469 |