Healthcare Provider Details

I. General information

NPI: 1467956375
Provider Name (Legal Business Name): KAREEM R FAKHOURY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST FL 1
NEW ORLEANS LA
70115-3515
US

IV. Provider business mailing address

1401 FOUCHER ST FL 1
NEW ORLEANS LA
70115-3515
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-8387
  • Fax: 504-897-7778
Mailing address:
  • Phone: 504-897-8387
  • Fax: 504-897-7778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number336480
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: