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Amidou Diarrassouba, PA — NPI 1912548256, Fort Riley, KS | NPI Central

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NPI 1912548256

IndividualActive

Amidou Diarrassouba, PA

NPI 1912548256 · Physician Assistant · Fort Riley, KS

Provider details

NPI number: 1912548256
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Health & Wellness Coach171400000X
Other Service Providers
Case Manager/Care Coordinator171M00000X
Other Service Providers
Home Health Agency251E00000X
Agencies
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

6271 Fleetwood Ct Apt 2

Fort Riley, KS 66442-3333

Phone: (646) 730-2841

Approximate (ZIP-level) locationGet directions

More KS providers

Mailing address

1265 Walton Ave Apt 4bs

Bronx, NY 10452-7807

Additional practice locations (1)

1265 Walton Ave Apt 4bs
Bronx, NY 10452-7807
Phone: (646) 730-2841

Registry dates

Enumerated: 2019-10-07
Last updated: 2025-08-26
Certified: 2025-08-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.