Provider Demographics
NPI:1750493383
Name:FOTI, KAREN M (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:M
Last Name:FOTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 W ESPLANADE AVE STE 314
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2489
Mailing Address - Country:US
Mailing Address - Phone:504-305-5500
Mailing Address - Fax:504-305-5038
Practice Address - Street 1:200 W ESPLANADE AVE STE 314
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2489
Practice Address - Country:US
Practice Address - Phone:504-305-5500
Practice Address - Fax:504-305-5038
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2020-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA025481208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1579459Medicaid