Individual
GEORGES CHAHOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD, SUITE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Mailing address
11125 DUNN RD, SUITE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2008004266
MO
207RI0011X
Interventional Cardiology Physician
2008004266
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05090015400
QUALCHOICE
—
05
—
158182001
—
AR
01
—
5N303
BCBS
—
01
—
P00243465
RAILROAD MEDICARE 1
—
Enumeration date
10/13/2006
Last updated
10/20/2020
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