Individual
DR. GEORGE W SHAHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1611 27TH ST STE 202, PORTSMOUTH, OH 45662-6932
(740) 356-6836
(740) 356-6806
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34003981
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599160
—
OH
01
—
OH 34-003981
OH LIC #
OH
Enumeration date
08/17/2006
Last updated
03/07/2023
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