Provider Demographics
NPI:1477231207
Name:ROHAN THAMBY FOOT & ANKLE PC
Entity type:Organization
Organization Name:ROHAN THAMBY FOOT & ANKLE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:469-879-2260
Mailing Address - Street 1:811 N EL CAMINO REAL APT 303
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3778
Mailing Address - Country:US
Mailing Address - Phone:469-879-2260
Mailing Address - Fax:
Practice Address - Street 1:811 N EL CAMINO REAL APT 303
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3778
Practice Address - Country:US
Practice Address - Phone:469-879-2260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty