MEDICARE: LARRY RAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine Physician	228750-1	NY
2	207VM0101X	Maternal & Fetal Medicine Physician	C53235	CA

General Provider Information

NPI Number	:	1477571537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY RAND M.D.

Provider Business Mailing Address
First Line	:	550 16TH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2549
Country	:	US
Telephone Number	:	415-502-1835
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 16TH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2549
Country	:	US
Telephone Number	:	415-502-1835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	04/28/2022

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