Healthcare Provider Details

I. General information

NPI: 1104147206
Provider Name (Legal Business Name): RANA RAND D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2010
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 DIVISADERO ST
SAN FRANCISCO CA
94143-3400
US

IV. Provider business mailing address

2041 POLK ST STE E
SAN FRANCISCO CA
94109-2549
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7700
  • Fax:
Mailing address:
  • Phone: 415-484-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number20A15076
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberDO-04624
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number15076
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: