Individual provider · NPI-1

Dr. Fadi Niazy Abu-Farsakh, MD

Internal Medicine, Geriatric Medicine · New Orleans, LA

NPI number1487215950

StatusActive

Last updated in NPPESJul 18, 2022

Details

NPI: 1487215950
Entity type: Individual (NPI-1)
Name: Dr. Fadi Niazy Abu-Farsakh
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 25, 2019
Certification date: Jul 18, 2022
Last updated: Jul 18, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RG0300X	Internal Medicine, Geriatric Medicine	4301507530	MI	Yes
207RH0002X	Internal Medicine, Hospice and Palliative Medicine	4301507530	MI
208D00000X	General Practice	4301507530	MI
390200000X	Student in an Organized Health Care Education/Training Program	–	–
390200000X	Student in an Organized Health Care Education/Training Program	320211	LA

Practice location

1542 Tulane Ave
Box T4m-2
New Orleans, LA 70112

Phone 504-478-6877

Mailing address

3960 Mayfield Ave Ne Apt 2g
Grand Rapids, MI 49525-6612

Phone 504-478-6877

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