Individual
GABRIELLA M SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2566 HAYMAKER RD STE 203, MONROEVILLE, PA 15146-3554
(412) 858-7088
(412) 858-7016
Mailing address
627 BUTTERNUT AVE, ROYAL OAK, MI 48073-3201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010005
MI
363AM0700X
Medical Physician Assistant
MA056566
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031540210001
—
PA
Enumeration date
12/05/2013
Last updated
02/14/2024
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