Physician Assistant
Mr. AMIDOU DIARRASSOUBA PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912548256 · enumerated 2019-10-07 · record updated 2025-08-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1265 WALTON AVE APT 4BS, BRONX, NY, 10452-7807 (646) 730-2841 Google Maps Apple Maps OpenStreetMap
- Practice location 6271 FLEETWOOD CT APT 2, FORT RILEY, KS, 66442-3333 (646) 730-2841 Google Maps Apple Maps OpenStreetMap
Specialties
- Health & Wellness Coach 171400000X
- Case Manager/Care Coordinator 171M00000X
- Home Health 251E00000X
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant 363A00000X · Primary
In this directory
Locations and evidence
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Practice location
FORT RILEY, KS, 664423333
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.