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NPI Code Detail

MEDICARE: EHLAN AHMED SIDDIQI AMFT

MEDICARE: EHLAN AHMED SIDDIQI AMFT
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
1106H00000XMarriage & Family Therapist145475CA

General Provider Information

NPI Number : 1982591087
Entity Type Code : Individual
Provider Name (Legal Business Name) : EHLAN AHMED SIDDIQI AMFT
Provider Business Mailing Address
First Line : 2407 RAMPART ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-3036
Country : US
Telephone Number : 510-394-2639
Fax Number :
Provider Business Practice Location Address
First Line : 3800 COOLIDGE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-3311
Country : US
Telephone Number : 510-393-8595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2025
Last Update Date : 01/11/2026

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Directions to “ EHLAN AHMED SIDDIQI AMFT” Practice Location

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