NPI

Mamadou Mouctar Bah

NPI 1619400157

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
PA
Type
Individual
Enumeration date
2017-04-11
Last updated
2025-08-06

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Specialties

Licenses

License MD
C0009253
License NY
020752-1
License DE
C5-0012025

Location

Practice location
200 Hygeia Dr
City
Newark DE
Postal code
19713-2049
Phone
(302) 273-1701
Fax
(302) 273-4497

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Physician Assistants in Newark, DE. 326 with this primary taxonomy in the public file.

Other NPIs in Newark, DE. 5,753 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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