Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. AMIDOU DIARRASSOUBA, PA
Active Sole ProprietorMR. AMIDOU DIARRASSOUBA, PA is a Physician Assistant healthcare provider located in FORT RILEY, Kansas. NPI 1912548256 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT RILEY, KS
Registration Details
- NPI Number
- 1912548256
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2019 (6.8073278330827 yrs)
- Last Updated
- Aug 26, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
6271 FLEETWOOD CT APT 2FORT RILEY, KS, 664423333Browse KS providers · Browse ZIP 66442
- Phone
- 6467302841
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Case Manager
- Additional Specialty
- Home Health
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT RILEY, KS
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES DAVID DAY | PA-C, MPAS | 1396720488 |
| MR. JUSTIN SCOTT MULBERY | P.A.-C | 1447298377 |
| JOHN RICHARD GRALOW | PAC | 1043313323 |
| MISS DREW J. MARR | PAC | 1063516474 |
| BERTIS THOMAS MCMILLAN | PA | 1093809717 |
| BRIAN DAVID CALKINS | PA-C | 1922194505 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.