MEDICARE: PAHMA

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	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1447024054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAHMA

Provider Business Mailing Address
First Line	:	1970 BROADWAY STE 835
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-2299
Country	:	US
Telephone Number	:	415-596-1372
Fax Number	:

Provider Business Practice Location Address
First Line	:	1970 BROADWAY STE 835
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-2299
Country	:	US
Telephone Number	:	415-596-1372
Fax Number	:	510-991-0068

Authorized Official
Title or Position	:	OWNER
Name	:	AHMED SABRY EL-SOKKARY
Credential	:
Telephone Number	:	415-596-1372

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	06/23/2026

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Directions to “PAHMA ” Practice Location

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