Healthcare Provider Details

I. General information

NPI: 1013776509
Provider Name (Legal Business Name): FARWAH IQBAL MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 WELCH RD
PALO ALTO CA
94304-1516
US

IV. Provider business mailing address

780 WELCH RD
PALO ALTO CA
94304-1516
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-2185
  • Fax: 650-498-6044
Mailing address:
  • Phone: 650-723-2185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberPTL17570
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: