NPI 1003767559

Siraj Issak

Practitioner Private Vehicle Fargo, ND

Practice location

Address: 1323 23rd St S STE D, Fargo, ND 58103-3759
Phone: (701) 781-0208

Registered specialties (2)

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence Z000-034-100 (MN)

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003767559
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Feb 2026
Record last updated: 9 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.