Individual provider · Type 1 NPI

Babatunde Onimago-Ishiaka, PA-C

Surgical Physician Assistant · Dallas, TX

NPI number 1669774915 Active

Practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Call (716) 239-3983 Map

Mailing address

620 John Paul Jones Circle, Nmcp General Surgery Department
Portsmouth, VA 23708

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0110003560 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1669774915

Babatunde Onimago-Ishiaka, PA-C's National Provider Identifier is 1669774915, issued on Nov 18, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Nov 16, 2017.