NPI 1487215950 · live from the CMS NPI Registry
Fadi Niazy Abu-Farsakh, MD
Internal Medicine, Geriatric Medicine in New Orleans, LA. National Provider Identifier 1487215950, active.
NPI record
| NPI | 1487215950 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Geriatric Medicine 207RG0300X |
| Practice location | 1542 Tulane Ave, Box T4m-2, New Orleans, LA 70112 |
| Practice phone | 504-478-6877 |
| Mailing address | 3960 Mayfield Ave Ne Apt 2g, Grand Rapids, MI 49525 |
| Enumerated | June 25, 2019 |
| Last updated | July 18, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | 4301507530 (MI) |
| General Practice | 208D00000X | 4301507530 (MI) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | 320211 (LA) |
| Internal Medicine, Geriatric Medicine primary | 207RG0300X | 4301507530 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.