Provider Demographics
NPI:1861652141
Name:CHRISTAKIS, ARES MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARES
Middle Name:MICHAEL
Last Name:CHRISTAKIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3600 PRYTANIA ST STE 35
Mailing Address - Street 2:CRESCENT CITY PHYSICIANS, INC.
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3678
Mailing Address - Country:US
Mailing Address - Phone:504-897-7197
Mailing Address - Fax:
Practice Address - Street 1:3525 PRYTANIA ST.
Practice Address - Street 2:SUITE 620
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-8100
Practice Address - Country:US
Practice Address - Phone:504-894-5640
Practice Address - Fax:504-894-5641
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.204170208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1084921Medicaid
LA1084921Medicaid