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NPI Code Detail

MEDICARE: DR. MAHENDRA RANCHOD M.D.

MEDICARE: DR. MAHENDRA RANCHOD 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
1246Q00000XPathology Specialist/TechnologistA29959CA

General Provider Information

NPI Number : 1659460913
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAHENDRA RANCHOD M.D.
Provider Business Mailing Address
First Line : 100 ALBRIGHT WAY STE C
Second Line :
City : LOS GATOS
State : CA
Zip : 95032-1837
Country : US
Telephone Number : 408-866-5227
Fax Number : 408-866-5228
Provider Business Practice Location Address
First Line : 100 ALBRIGHT WAY STE C
Second Line :
City : LOS GATOS
State : CA
Zip : 95032-1837
Country : US
Telephone Number : 408-866-5227
Fax Number : 408-866-5228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 01/14/2010

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