Individual
DR. KIKELOMO LATEEFAT BABATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-1242
(214) 648-3382
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9257
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R7382
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
R7382
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710142229
—
WI
Enumeration date
07/23/2008
Last updated
12/05/2018
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