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Contact Information

AMIDOU DIARRASSOUBA, PA
6271 FLEETWOOD CT APT 2
FORT RILEY, KS66442-3333
 Phone: 646-730-2841
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for AMIDOU DIARRASSOUBA · (Male)

NPI # 1912548256
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/07/2019
Last updated 08/26/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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