Healthcare Provider Details

I. General information

NPI: 1720901945
Provider Name (Legal Business Name): ZOHA MEDICAL CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4817 KINGSTON AVE
LISLE IL
60532-2220
US

IV. Provider business mailing address

4817 KINGSTON AVE
LISLE IL
60532-2220
US

V. Phone/Fax

Practice location:
  • Phone: 248-403-0587
  • Fax: 224-252-3714
Mailing address:
  • Phone: 248-403-0587
  • Fax: 224-252-3714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: AMANULLAH SIDDIQUI
Title or Position: OWNER / CHIEF MEDICAL OPERATOR
Credential: MD
Phone: 248-403-0587