Healthcare Provider Details

I. General information

NPI: 1053933440
Provider Name (Legal Business Name): RACHANA PUROHIT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2020
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date: 01/11/2022
Reactivation Date: 03/09/2022

III. Provider practice location address

2500 GRANT RD
MOUNTAIN VIEW CA
94040-4302
US

IV. Provider business mailing address

2500 GRANT RD
MOUNTAIN VIEW CA
94040-4302
US

V. Phone/Fax

Practice location:
  • Phone: 650-940-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA185913
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number185913
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: