DR. RANDAL CARL ANDERSON M.D. NPI 1851342182

NPI Information

NPI: 1851342182
Provider Name: DR. RANDAL CARL ANDERSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
510 E STONER AVE
SHREVEPORT, LA
ZIP 71101
Phone: (318) 990-5322
Get Directions

DR. Randal Carl Anderson, M.D. is a diagnostic radiology radiology in Shreveport, LA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Randal Carl Anderson, M.D. NPI is 1851342182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101-243
Phone: (318) 990-5322

The enumeration date for this NPI number is 5/12/2006 and was last updated on 3/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	M-9167	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00428982	OTHER	ARKANSAS	RAILROAD MEDICARE
2	165862001	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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