Healthcare Provider Details

I. General information

NPI: 1740905959
Provider Name (Legal Business Name): ROHAN THAMBY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WEBSTER ST STE 209
SAN FRANCISCO CA
94115-2375
US

IV. Provider business mailing address

888 N SAN MATEO DR APT B318
SAN MATEO CA
94401-2686
US

V. Phone/Fax

Practice location:
  • Phone: 415-431-3668
  • Fax:
Mailing address:
  • Phone: 469-879-2260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE6967
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: