Individual
CHARISE SHIVELY FASHHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 521-9100
(337) 470-2019
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 521-9100
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
206884
LA
207V00000X
Obstetrics & Gynecology Physician
48824
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
04/19/2012
Last updated
07/07/2025
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