- Practice location
- 4500 S Lancaster RD, Dallas, TX 75216-7167
- Phone
- 401-365-0464
- Fax
- —
- Last updated
- December 21, 2021
Olabamiji Kazeem Abimbola is a Physician Assistant, Medical based in Dallas, TX. Olabamiji Kazeem Abimbola practices in Dallas, TX and has the professional credentials of DSC, PA-C. The NPI Number for Olabamiji Kazeem Abimbola is 1619460938 and holds a License No. PA6600 (MA). The current practice location address for Olabamiji Kazeem Abimbola is 4500 S Lancaster RD, Dallas, TX 75216-7167 and can be reached out via phone at 401-365-0464.
Provider Profile Details
- NPI Number
- 1619460938
- Provider Name
- Olabamiji Kazeem Abimbola
- Credential
- DSC, PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4500 S Lancaster RD, Dallas, TX 75216-7167
- Phone Number
- 401-365-0464
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2018
- Last Update Date
- December 21, 2021
- Certification Date
- December 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4500 S Lancaster RD
Dallas, TX 75216-7167 - City
- Dallas
- State
- Texas
- Zip
- 75216-7167
- Phone Number
- 401-365-0464
Provider Business Mailing Address Details
- Address
- 4500 S Lancaster RD
Dallas, TX 75216-7167 - City
- Dallas
- State
- TX
- Zip
- 75216-7167
- Phone Number
- 401-365-0464
License Information
- License Number (1)
- PA6600
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA6600
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
- License Number (3)
- PA13372
- License State (3)
- TX
- Taxonomy (3)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Olabamiji K Abimbola, DSC, PA-C?
The NPI number of Dr. Olabamiji K Abimbola, DSC, PA-C is 1619460938. It was assigned on June 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Olabamiji K Abimbola, DSC, PA-C?
Dr. Olabamiji K Abimbola, DSC, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA6600.
Where does Dr. Olabamiji K Abimbola, DSC, PA-C practice?
The practice location is 4500 S Lancaster RD, Dallas, TX 75216-7167. The office can be reached at 401-365-0464 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619460938 directly on the NPPES registry website.