Individual
TUSHAR RANCHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
365 LENNON LN STE 250, WALNUT CREEK, CA 94598-5915
(925) 943-6800
(925) 943-6880
Mailing address
365 LENNON LN STE 250, WALNUT CREEK, CA 94598-5915
(925) 522-8858
(925) 522-8851
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
113274
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A113274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94-3064464
GROUP TAX ID
—
05
—
GR0030671
—
CA
Enumeration date
12/28/2006
Last updated
04/23/2021
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