Provider Demographics
NPI:1104147206
Name:RAND, RANA (DO)
Entity type:Individual
Prefix:DR
First Name:RANA
Middle Name:
Last Name:RAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 POLK ST STE E
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-2549
Mailing Address - Country:US
Mailing Address - Phone:415-484-9070
Mailing Address - Fax:
Practice Address - Street 1:2041 POLK ST STE E
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-2549
Practice Address - Country:US
Practice Address - Phone:415-484-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-13
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-04624208100000X
CA15076208100000X
CA20A15076208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation