Provider Demographics
NPI:1922058536
Name:WOO, FAY (MD)
Entity Type:Individual
Prefix:DR
First Name:FAY
Middle Name:
Last Name:WOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7777 HENNESSY BLVD
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808
Mailing Address - Country:US
Mailing Address - Phone:225-766-7441
Mailing Address - Fax:225-766-7597
Practice Address - Street 1:7777 HENNESSY BLVD
Practice Address - Street 2:SUITE 4000
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-766-7441
Practice Address - Fax:225-766-7597
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA05384R207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA180015622OtherMEDICARE RAILROAD
LA133966Medicaid
LA133966Medicaid
LA180015622OtherMEDICARE RAILROAD
LA5L521Medicare ID - Type Unspecified