Individual
SHAHIDA KHATOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 864-4031
Mailing address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 864-4031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OT019267
PA
Other
Enumeration date
06/18/2019
Last updated
10/05/2023
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