Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sidra Mukhtar Kamal

Individual provider Speech-Language Pathologist · NPI 1801789177

Sidra Mukhtar Kamal is a Qualified Speech Language Pathologist in Ann Arbor, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
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Practice location Address checks out

2900 Golfside Dr Ste 6
Ann Arbor, MI 48108-1410
Phone: (734) 224-9121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5245 Schaefer Rd Ste D, Dearborn, MI 48126-3257 — (734) 224-9121

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7152001176 (MI)

Record details

NPI number1801789177
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateMay 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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