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Jasleen Kaur Randhawa

Internal Medicine

Allopathic & Osteopathic Physicians

6445 Main Street, Opc24, Houston, TX 77030

PECOS Enrollment

This provider is enrolled in PECOS as JASLEEN RANDHAWA.

Based on the most recent information from CMS, provider Jasleen Kaur Randhawa is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1134305675
Provider Type
Individual
Full Name
Randhawa, Jasleen Kaur
Credential
M.D

Gender
Female
Sole Proprietor
No
Enumeration Date
1/15/2008
Last Updated
7/21/2022

Contact Information

Practice Location

6445 Main Street, Opc24, Houston, TX 77030

(713) 441-9948

(713) 790-6470

Mailing Location

6445 Main Street, Opc24, Houston, TX 77030

(713) 441-9948

(713) 790-6470

Provider Taxonomies

Code	Description	License
Code 207RH0003X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R2206 Texas
Code 207RH0003X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 53851 Wisconsin
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 53851 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 371908001	Description Medicaid	Issuer Unlisted Texas

Jasleen Kaur Randhawa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

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License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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