NITI RANDHAWA,M.D., PA
NPI 1649420787
Family Medicine in Dallas, TX

Active since September 25, 2008
12200 PARK CENTRAL DR STE 189, DALLAS, TX 75251(469) 584-8480(469) 587-8484 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 28, 2017 (3 updates tracked since 2017).

About Niti Randhawa,m.d., Pa NPPES

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

NITI RANDHAWA,M.D., PA (NPI 1649420787) is a healthcare organization registered as a family medicine in Dallas, Texas and active in the NPI registry since September 2008. The organization maintains a secondary practice location in Dallas and lists Ninety Nine Credentialing Services, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1649420787
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNITI RANDHAWA,M.D., PA
Location Address12200 PARK CENTRAL DR STE 189Dallas, TX 75251-2116
Mailing Address9101 Lbj Freeway, Ste 710Dallas, TX 75243-1912 · (972) 792-5700 · Fax (214) 506-1170
Fax(469) 587-8484
Organization SubpartNo
Authorized OfficialNinety Nine Credentialing ServicesCredentialing · (972) 792-5700
Enumeration DateSeptember 25, 2008
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1649420787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K2988
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12200 PARK CENTRAL DR STE 189, Dallas, TX 75251

Secondary Practice Location 1

Location 112200 Paek CentraL Drive, Suite 100Dallas, TX 75251 · Phone (972) 701-0199 · Fax (972) 701-0201

Other Identifiers 2

Other193400000XTX · Taxonomy
OtherK2988TX · Tx License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Internal Medicine
12200 PARK CENTRAL DR STE 189
DALLAS, TX 75251
Internal Medicine
12200 PARK CENTRAL DR STE 189
DALLAS, TX 75251
Pediatrics
12200 PARK CENTRAL DR STE 189
DALLAS, TX 75251
Pediatrics
12200 PARK CENTRAL DR STE 189
DALLAS, TX 75251

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 Niti Randhawa,m.D., PA's NPI number?

The NPI number for Niti Randhawa,m.D., PA is 1649420787. It was assigned to this organization in the NPPES registry on September 25, 2008.

Where is Niti Randhawa,m.D., PA located?

Niti Randhawa,m.D., PA is located at 12200 Park Central Dr Ste 189, Dallas, TX 75251. The listed phone number is (469) 584-8480.

What is Niti Randhawa,m.D., PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Niti Randhawa,m.D., PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.