Individual
DAVID R FAKIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
906 PICHELOUP PL, NEW ORLEANS, LA 70119-3822
(985) 804-3112
Mailing address
906 PICHELOUP PL, NEW ORLEANS, LA 70119-3822
(985) 804-3112
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
018933
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548194
ANTHEM-KCR
KY
01
—
02880871
NY MEDICAL ASSISTANCE
NY
01
—
101918790
MEDICAL ASSISTANCE PA
PA
05
—
101918790
—
PA
05
—
1019187900001
—
PA
01
—
1071748
WV WORKERS COMP
WV
05
—
1467458927
—
VA
01
—
1563209
GATEWAY
PA
01
—
1564931
AETNA
PA
05
—
1909173
—
LA
01
—
211195701
TPI
TX
01
—
219107
UNISON
PA
01
—
2750303
OH MEDICAL ASSISTANCE
OH
05
—
2750303
—
OH
01
—
3425392000
PASSPORT ADVANTAGE
KY
01
—
3810010518
MEDICAID WV
VA
01
—
50017540
PASSPORT-KCR
KY
01
—
705750
BLUE SHIELD
PA
05
—
7100028580
—
KY
01
—
91729
SIHO-KCR
KY
01
—
P00405860
MEDICARE RAILROAD
VA
Enumeration date
06/21/2005
Last updated
02/26/2015
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