DR. MANRAJ KAUR RANDHAWA MD
NPI 1487405650
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 27, 2024PECOS Enrolled
1439 JESSE JEWELL PKWY NE STE 102, GAINESVILLE, GA 30501(770) 219-9445(770) 219-9446 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Manraj Kaur Randhawa Md NPPES

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

DR. MANRAJ KAUR RANDHAWA MD (NPI 1487405650) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487405650
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MANRAJ KAUR RANDHAWACredential: MD
Location Address1439 JESSE JEWELL PKWY NE STE 102Gainesville, GA 30501-3806
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Fax(770) 219-9446
Sole ProprietorNo
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
NPI 1487405650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
1439 JESSE JEWELL PKWY NE STE 102, Gainesville, GA 30501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Manraj Kaur Randhawa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
General Practice
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Family Medicine
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manraj Randhawa's NPI number?

The NPI number for Manraj Randhawa is 1487405650. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Manraj Randhawa located?

Manraj Randhawa practices at 1439 Jesse Jewell Pkwy NE Ste 102, Gainesville, GA 30501. The listed phone number is (770) 219-9445.

What is Manraj Randhawa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Manraj Randhawa enrolled in Medicare?

Yes. Manraj Randhawa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manraj Randhawa was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.