Fatouma Bouh
Fatouma Bouh is a Physician Assistant in Longmeadow, Massachusetts. Qualified in 2024, 2 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment. Licensed in Georgia and Massachusetts.
- Years since qualifying
- 2
- Licensed in
- GA, MA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Longmeadow, MANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 12640 (GA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (MA) |
Record details
| NPI number | 1538892849 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 5, 2022 |
| Last updated in NPPES | May 19, 2025 |
| Certification date | May 19, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Wellstreet Of Georgia Pc — 431 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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