Provider Demographics
NPI:1659460913
Name:RANCHOD, MAHENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHENDRA
Middle Name:
Last Name:RANCHOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ALBRIGHT WAY STE C
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1837
Mailing Address - Country:US
Mailing Address - Phone:408-866-5227
Mailing Address - Fax:408-866-5228
Practice Address - Street 1:100 ALBRIGHT WAY STE C
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1837
Practice Address - Country:US
Practice Address - Phone:408-866-5227
Practice Address - Fax:408-866-5228
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA29959246Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ33972ZMedicare PIN
CAA25924Medicare UPIN
CAZZZ26368ZMedicare PIN