DR. JASNEET RANDHAWA MD
NPI 1023713658
Student in an Organized Health Care Education/Training Program in Dalton, GA

Active since April 03, 2023
1432 BROADRICK DRIVE, DALTON, GA 30720(706) 226-8990(706) 529-5317 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 27, 2024, Apr 3, 2023 (2 updates tracked since 2023).

About Dr. Jasneet Randhawa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASNEET RANDHAWA MD (NPI 1023713658) is an individual student in an organized health care education/training program in Dalton, Georgia, licensed in Georgia (15216) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1023713658
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JASNEET RANDHAWACredential: MD
Location Address1432 BROADRICK DRIVEDalton, GA 30720
Mailing Address1200 Memorial DriveDalton, GA 30720 · (706) 272-6132 · Fax (706) 272-6761
Fax(706) 529-5317
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
NPI 1023713658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in GA · 15216
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1432 BROADRICK DRIVE, Dalton, GA 30720

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
1432 BROADRICK DRIVE, DALTON FOOT AND ANKLE SURGERY CENTER
DALTON, GA 30720
Clinic/Center (Podiatric)
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023713658, enumerated as an "individual" on April 03, 2023.

The provider is located at 1432 BROADRICK DRIVE DALTON, GA 30720 and the phone number is (706) 226-8990.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.