Basic Information
| Provider Information | |||||||||
| NPI: | 1952579468 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TULANE UNIVERSITY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1430 TULANE AVE # SL78 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885482 | ||||||||
| FaxNumber: | 5049885483 | ||||||||
| Practice Location | |||||||||
| Address1: | 1430 TULANE AVE # SL78 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885482 | ||||||||
| FaxNumber: | 5049885483 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2008 | ||||||||
| LastUpdateDate: | 02/19/2008 | ||||||||
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| AuthorizedOfficialLastName: | FAHED | ||||||||
| AuthorizedOfficialFirstName: | RABIH | ||||||||
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| AuthorizedOfficialTitleorPosition: | HEM/ONC FELLOW | ||||||||
| AuthorizedOfficialTelephone: | 3162142062 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC0060X | GETP.TU.HEM/ON | LA | Y | Hospitals | General Acute Care Hospital | Critical Access |
No ID Information.