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ABDULBAGE EL SIDDIG
NPI 1619725645
Physician Assistant in Prescott, AZ

Active since May 06, 2024
1000 WILLOW CREEK RD STE F, PRESCOTT, AZ 86301(928) 227-0912 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Abdulbage El Siddig NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABDULBAGE EL SIDDIG (NPI 1619725645) is an individual physician assistant in Prescott, Arizona, licensed in Arizona (R81022) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1619725645
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameABDULBAGE EL SIDDIG
Location Address1000 WILLOW CREEK RD STE FPrescott, AZ 86301-1645
Mailing Address1222 E Malcolm X StLansing, MI 48912-1618 · (517) 505-5162
Phone(928) 227-0912
Sole ProprietorNo
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1619725645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · R81022
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 WILLOW CREEK RD STE F, Prescott, AZ 86301
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdulbage El Siddig's NPI number?

The NPI number for Abdulbage El Siddig is 1619725645. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Abdulbage El Siddig located?

Abdulbage El Siddig practices at 1000 Willow Creek Rd Ste F, Prescott, AZ 86301. The listed phone number is (928) 227-0912.

What is Abdulbage El Siddig's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Abdulbage El Siddig was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.