Provider profile · NPI 1619460938
Olabamiji Kazeem Abimbola, DSc, PA-C
Physician Assistant, Medical · Dallas, TX · NPI 1619460938 · 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
Jun 12, 2018
License(s)
PA6600 (MA), PA6600 (MA), PA13372 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4500 S LANCASTER RD | Dallas, TX 75216-7167 | 401-365-0464 |
| MAILING | 4500 S LANCASTER RD | Dallas, TX 75216-7167 | 401-365-0464 |
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