NPI 1659368017

Randolph Roberts, MD

Practitioner Diagnostic Radiology Physician Crown Point, IN

Practice location

Address: 1201 S Main St, Crown Point, IN 46307-8481
Phone: (219) 757-6320
Fax: (219) 738-6714
Mailing address: 55 E 86th Ave PO Boix 10645, Merrillville, IN 46410-6382

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 01036988 (IN)

Other Radiology providers in Indiana →

Registry record

NPI: 1659368017
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2005
Record last updated: 25 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.