Provider Demographics
NPI:1922338912
Name:RANDHAWA, ROBIN KAUR (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:KAUR
Last Name:RANDHAWA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-4508
Mailing Address - Country:US
Mailing Address - Phone:707-447-3500
Mailing Address - Fax:707-447-3510
Practice Address - Street 1:342 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-4508
Practice Address - Country:US
Practice Address - Phone:707-447-3500
Practice Address - Fax:707-447-3510
Is Sole Proprietor?:No
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor