Dr. Olabamiji K Abimbola, DSC, PA-C
Physician Assistant, Medical in Dallas, Texas
1619460938- Practice location
- 4500 S Lancaster RD, Dallas, TX 75216-7167
- Phone
- 401-365-0464
- Fax
- —
- Last updated
- December 21, 2021
Dr. Olabamiji K Abimbola, DSC, PA-C is a Physician Assistant, Medical based in Dallas, TX. Dr. Olabamiji K Abimbola, DSC, PA-C holds the professional credentials of DSC, PA-C. The NPI number for Dr. Olabamiji K Abimbola, DSC, PA-C is 1619460938 and holds license No. PA6600 (MA). The current practice location address is 4500 S Lancaster RD, Dallas, TX 75216-7167 and the office can be reached by phone at 401-365-0464. The NPI was assigned on June 12, 2018 and the record was last updated in NPPES on December 21, 2021.
●Provider Profile Details
- NPI Number
- 1619460938
- Provider Name
- Olabamiji Kazeem Abimbola
- Credential
- DSC, PA-C
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Enumeration Date
- June 12, 2018
- Last Update Date
- December 21, 2021
- Certification Date
- December 21, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4500 S Lancaster RD
Dallas, TX 75216-7167 - City
- Dallas
- State
- Texas
- ZIP
- 75216-7167
- Country
- US
- Phone Number
- 401-365-0464
✉Business Mailing Address
- Address
- 4500 S Lancaster RD
Dallas, TX 75216-7167 - City
- Dallas
- State
- TX
- ZIP
- 75216-7167
- Phone Number
- 401-365-0464
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | No | PA6600 | MA |
| Physician Assistant, Surgical | 363AS0400X | No | PA6600 | MA |
| Physician Assistant, Medical | 363AM0700X | Yes | PA13372 | TX |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Dallas →?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) and holds license No. PA6600 (MA).
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 at npiregistry.cms.hhs.gov.