Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | ME139899 | FL |
NPI | 1164861167 |
---|---|
Provider Name | Jad Chahoud |
First Address | Atlanta, GA 30384-8441 |
Second Address | Tampa, FL 33612-9416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2013 |
Last Update Date | 04/06/2021 |