IndividualActive
Abimbola Fasusi, PA-C
NPI 1649512252 · Medical Physician Assistant · Washington, DC
Provider details
- NPI number
- 1649512252
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA030925 (DC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
220 L St Ne
Washington, DC 20002-3536
Phone: (202) 544-7580
Approximate (ZIP-level) locationGet directions
Mailing address
2902 Porter St Nw
Washington, DC 20008-3286
Registry dates
- Enumerated
- 2013-03-21
- Last updated
- 2013-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.