Provider Demographics
NPI:1104830033
Name:NAIDOO, RANDY MEL (MD)
Entity type:Individual
Prefix:DR
First Name:RANDY
Middle Name:MEL
Last Name:NAIDOO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1954 NOVEL DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-1222
Mailing Address - Country:US
Mailing Address - Phone:424-262-4366
Mailing Address - Fax:206-339-4704
Practice Address - Street 1:3600 SHIRE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-2240
Practice Address - Country:US
Practice Address - Phone:469-333-1543
Practice Address - Fax:877-878-9118
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2014-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM0506208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics