Provider Demographics
NPI:1760652408
Name:FAURIA-ROBINSON, CHRISTIAN ALLISON (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:ALLISON
Last Name:FAURIA-ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTIAN
Other - Middle Name:ALLISON
Other - Last Name:FAURIA-ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1855 NORTH GAYOSO STREET
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2223
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:EMORY UNIVERSITY HOSPITAL 1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-6535
Practice Address - Country:US
Practice Address - Phone:404-778-4803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2026962085R0202X, 2085R0204X
GA818832085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08530856Medicaid
LAP00865249OtherRRMCARE THRU IHS
LA1507725Medicaid
LA4M367DR76Medicare PIN
LAP00865249OtherRRMCARE THRU IHS