Individual
DR. CHARIT ANN FARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-7518
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-7518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.205602
LA
208M00000X
Hospitalist Physician
MD.205602
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02083564
—
MS
05
—
1935379
—
LA
Enumeration date
06/17/2009
Last updated
10/21/2021
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