Dr. Randy M Chudler, MD
Urology in Bloomfield Hills, MI. Individual provider (NPI-1).
NPI number1770564924
StatusActive
Last updated in NPPESJan 24, 2019
Details
- NPI
- 1770564924
- Entity type
- Individual (NPI-1)
- Name
- Dr. Randy M Chudler
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2005
- Last updated
- Jan 24, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - UROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 4301055681 | MI | Yes |
Practice location
1569 Sodon Lake DrBloomfield Hills, MI 48302-2361
Phone 248-626-9056
Mailing address
1569 Sodon Lake DrBloomfield Hills, MI 48302-2361
Phone 248-626-9056
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