MOBOLUWADE DUDUYEMI ABE - LATHAN PA-C NPI 1558641746

NPI Information

NPI: 1558641746
Provider Name: MOBOLUWADE DUDUYEMI ABE - LATHAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2424 ERWIN RD STE 201
DURHAM, NC
ZIP 27705
Phone: (919) 668-5145
Get Directions

Moboluwade Duduyemi Abe - Lathan, PA-C is a medical physician assistant in Durham, NC with 14 years of experience. Moboluwade Duduyemi Abe - Lathan, PA-C NPI is 1558641746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2424 ERWIN RD STE 201
DURHAM, NC
ZIP 27705-825
Phone: (919) 668-5145

The NPI 1558641746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2011 and was last updated on 12/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0066443	GEORGIA	No
2	363A00000X	Physician Assistant		1669	SOUTH CAROLINA	No
3	363AM0700X	Physician Assistant	Medical	0010-04892	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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