Healthcare Provider Details

I. General information

NPI: 1750493383
Provider Name (Legal Business Name): KAREN M FOTI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ESPLANADE AVE STE 314
KENNER LA
70065-2489
US

IV. Provider business mailing address

200 W ESPLANADE AVE STE 314
KENNER LA
70065-2489
US

V. Phone/Fax

Practice location:
  • Phone: 504-305-5500
  • Fax: 504-305-5038
Mailing address:
  • Phone: 504-305-5500
  • Fax: 504-305-5038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number025481
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: