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Individual

GEITH H SHAHOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 ROBERTS RD STE 150, GRINDSTONE, PA 15442-2104
(724) 785-4346
(724) 364-7117
Mailing address
111 ROBERTS RD STE 150, GRINDSTONE, PA 15442-2104
(724) 785-4346
(724) 364-7117

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2004009710
MO
2084P0800X
Psychiatry Physician
Primary
MD423515
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020795770007
PA
05
1020795770009
PA
05
208418608
MO
Enumeration date
01/10/2006
Last updated
03/18/2025
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