Provider Demographics
NPI:1225836943
Name:DJIGO, ABOU
Entity type:Individual
Prefix:
First Name:ABOU
Middle Name:
Last Name:DJIGO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3980 BLAKEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9680
Mailing Address - Country:US
Mailing Address - Phone:614-517-5830
Mailing Address - Fax:
Practice Address - Street 1:3980 BLAKEWOOD PL UNIT 203
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9682
Practice Address - Country:US
Practice Address - Phone:614-517-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter