MEDICARE: DR. FATOUMATA SAIDOU HANGADOUMBO PHD, MPH, CHES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1912855560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FATOUMATA SAIDOU HANGADOUMBO PHD, MPH, CHES

Provider Business Mailing Address
First Line	:	PO BOX 3988
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62902-3988
Country	:	US
Telephone Number	:	618-457-5200
Fax Number	:	618-529-0570

Provider Business Practice Location Address
First Line	:	1239 E MAIN ST
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62901-3175
Country	:	US
Telephone Number	:	618-457-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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