Healthcare Provider Details

I. General information

NPI: 1114858883
Provider Name (Legal Business Name): FARANAK KAMANGAR MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 MIDDLEFIELD RD STE 100
PALO ALTO CA
94301-2146
US

IV. Provider business mailing address

555 MIDDLEFIELD RD STE 100
PALO ALTO CA
94301-2146
US

V. Phone/Fax

Practice location:
  • Phone: 408-482-6260
  • Fax:
Mailing address:
  • Phone: 408-482-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FARANAK KAMANGAR
Title or Position: DERMATOLOGIST
Credential: MD
Phone: 408-482-6260