Individual provider · Type 1 NPI

Olabamiji Kazeem Abimbola, DSC, PA-C

Medical Physician Assistant · Dallas, TX

NPI number 1619460938 Active

Practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Other practice locations

  • Department Of Surgery, 113 Holland Ave, Albany, NY 12208 · (401) 365-0464
  • 363 Highland Ave, Fall River, MA 02720-3703 · (508) 973-1020

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA6600 (MA)
Surgical Physician Assistant 363AS0400XPA6600 (MA)
Medical Physician Assistant Primary 363AM0700XPA13372 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1619460938

Olabamiji Kazeem Abimbola, DSC, PA-C's National Provider Identifier is 1619460938, issued on Jun 12, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Dec 21, 2021.