# BABAFEMI BABAWANDE PRATT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174773873
- **Gender:** Man
- **Credential:** MD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 2008018810 | MO | — |
| 2086S0129X | Vascular Surgery Physician | 2010018439 | MO | — |
| 2086S0129X | Vascular Surgery Physician | 28194 | MS | — |
| 2086S0129X | Vascular Surgery Physician | Q5072 | TX | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 02/04/2025