Provider Demographics
NPI:1750108312
Name:ABIMBOLA, SAHEED ABIOLA (PA-C)
Entity type:Individual
Prefix:
First Name:SAHEED
Middle Name:ABIOLA
Last Name:ABIMBOLA
Suffix:
Gender:M
Credentials:PA-C
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3300 HOOPER PL APT D
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-4242
Mailing Address - Country:US
Mailing Address - Phone:848-467-2911
Mailing Address - Fax:
Practice Address - Street 1:BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH)
Practice Address - Street 2:UNIT #15245; BLDG 3031
Practice Address - City:APO
Practice Address - State:NY
Practice Address - Zip Code:96271
Practice Address - Country:US
Practice Address - Phone:010-274-0291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-11-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant