| Randa Fahim Mina Llc | |
|
2087 Klockner Rd Hamilton NJ 08690-3416 | |
| (609) 587-2300 | |
| (609) 587-8660 |
| Full Name | Randa Fahim Mina Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2087 Klockner Rd, Hamilton, New Jersey |
| Authorized Official Name and Position | Randa F Mina (PHYSICIAN) |
| Authorized Official Contact | 60958742300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randa Fahim Mina Llc Po Box 3007 Hamilton NJ 08619 Ph: (609) 587-2300 | Randa Fahim Mina Llc 2087 Klockner Rd Hamilton NJ 08690-3416 Ph: (609) 587-2300 |
| NPI Number | 1962541284 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 11/03/2009 |
| Medicare PECOS PAC ID | 2668575838 |
|---|---|
| Medicare Enrollment ID | O20070308000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962541284 | NPI | - | NPPES |
| 2517463 | Other | OXFORD | |
| 40113 | Other | UNIVERSITY HEALTH PLAN | |
| 60019748 | Other | HORIZON NJ HEALTH | |
| 0029726 | Medicaid | NJ | |
| 2517463 | Other | UNITED HEALTHCARE | |
| 3K2605 | Other | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Randa F Mina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174585855 PECOS PAC ID: 1557260908 Enrollment ID: I20040105000528 |
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