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NPI Code Detail

MEDICARE: NADYA SIDKI

MEDICARE: NADYA SIDKI
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
1103K00000XBehavior Analyst1-22-63171CA

General Provider Information

NPI Number : 1922792043
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADYA SIDKI
Provider Business Mailing Address
First Line : 655 S FAIR OAKS AVE APT B110
Second Line :
City : SUNNYVALE
State : CA
Zip : 94086-7808
Country : US
Telephone Number : 650-531-9993
Fax Number :
Provider Business Practice Location Address
First Line : 20555 PROSPECT RD
Second Line :
City : CUPERTINO
State : CA
Zip : 95014-5212
Country : US
Telephone Number : 659-319-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 06/12/2026

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Directions to “ NADYA SIDKI ” Practice Location

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