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Charise Shively Fashho, MD
Obstetrics & Gynecology Physician in Lafayette, Louisiana
NPI 1376800987

Charise Shively Fashho is a Obstetrics & Gynecology Physician based in Baton Rouge, LA. Charise Shively Fashho practices in Lafayette, LA and has the professional credentials of MD. The NPI Number for Charise Shively Fashho is 1376800987 and holds a License No. 48824 (Louisiana).

The current practice location address for Charise Shively Fashho is 4600 Ambassador Caffery Pkwy, Lafayette, LA and can be reached out via phone at 337-521-9100 and via fax at 337-470-2019.

Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA, 70816-6038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376800987
Provider Name
Charise Shively Fashho
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4600 Ambassador Caffery Pkwy, Lafayette, LA, 70816-6038
Phone Number
337-521-9100
Fax Number
337-470-2019
Provider Enumeration Date
04/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4600 Ambassador Caffery Pkwy
City
Lafayette
State
Louisiana
Zip
70508-6902
Phone Number
337-521-9100
Fax Number
337-470-2019
person
Provider Business Mailing Address Details
Address
4600 Ambassador Caffery Pkwy
City
Lafayette
State
Louisiana
Zip
70508-6902
Phone Number
337-521-9100
Fax Number
337-470-2019
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
(Louisiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
48824 (Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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