Provider profile · NPI 1558641746
Moboluwade Duduyemi Abe - Lathan, PA-C
Physician Assistant, Medical · Durham, NC · NPI 1558641746 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Aug 19, 2011
License(s)
0066443 (GA), 1669 (SC), 0010-04892 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2424 ERWIN RD STE 201 | Durham, NC 27705-3825 | 919-668-5145 |
| MAILING | 1204 W WELLWATER AVE | Durham, NC 27703-6549 | 952-210-7665 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.