MEDICARE: NAKHTER AHAD CMT, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	161990	CA
2	225700000X	Massage Therapist	73723	CA

General Provider Information

NPI Number	:	1376257923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAKHTER AHAD CMT, LMFT

Provider Business Mailing Address
First Line	:	3175 ADELINE ST UNIT 3973
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94703-5046
Country	:	US
Telephone Number	:	510-306-1231
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 FLORIO ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1333
Country	:	US
Telephone Number	:	510-306-1231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	03/03/2026

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