Individual provider · NPI-1

Dr. Olusegun Babatunde Bakare, MBBS, MPH

Student in an Organized Health Care Education/Training Program · New Orleans, LA

NPI number1295475796
StatusActive
Last updated in NPPESMay 22, 2024

Details

NPI
1295475796
Entity type
Individual (NPI-1)
Name
Dr. Olusegun Babatunde Bakare
Credential
MBBS, MPH
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2022
Certification date
May 22, 2024
Last updated
May 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
208D00000X General Practice341560LA

Practice location

1430 Tulane Ave # 8016
New Orleans, LA 70112-2632

Phone 504-988-1332 · Fax 504-988-3971

Mailing address

1430 Tulane Ave # 8016
New Orleans, LA 70112-2632

Phone 504-988-1332 · Fax 504-988-3971

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