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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIDDIG IZZELDIN SIDDIG

Active

SIDDIG IZZELDIN SIDDIG is a Contractor healthcare provider located in GRAND PRAIRIE, Texas. NPI 1851969984 is currently active in the NPPES registry. Verify at CMS.

Contractor · GRAND PRAIRIE, TX

Registration Details

NPI Number
1851969984
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2021 (5.1889097319861 yrs)
Last Updated
Jun 15, 2021

Practice Information

Address
2704 ATRIUM DR
GRAND PRAIRIE, TX, 750527015
Browse TX providers · Browse ZIP 75052
Phone
4696671390
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in GRAND PRAIRIE, TX

Name Credential NPI
DWIGHT LEE 1801904644
MRS. SHARON RUTH JACKSON 1134200389
MRS. CLAUDE RUSSELL TROTTER III 1710126230
MARCIE FRAZIER-MARTIN 1073829883
MR. TOMMY LEE PROVOST 1396111019
REGINAH MBULA NGWILI 1104308931
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.