Provider Demographics
NPI:1144428285
Name:DINCER, RANDA (MD)
Entity Type:Individual
Prefix:
First Name:RANDA
Middle Name:
Last Name:DINCER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RANDA
Other - Middle Name:A
Other - Last Name:EL HUSSEINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:205 WABASHA ST S FL 2
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55107-1805
Mailing Address - Country:US
Mailing Address - Phone:651-293-8350
Mailing Address - Fax:651-293-8355
Practice Address - Street 1:205 WABASHA ST S
Practice Address - Street 2:2ND FLOOR (KIDNEY HEALTH CLINIC)
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55107
Practice Address - Country:US
Practice Address - Phone:651-293-8350
Practice Address - Fax:651-293-8355
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI57290-20207RN0300X
MN53880207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1144428285Medicaid