Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD428819 | PA |
NPI | 1053491530 |
---|---|
Provider Name | Joseph H Houda |
First Address | Monroeville, PA 15146-3554 |
Second Address | Monroeville, PA 15146-3554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 06/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0052723 | (05) | OH |
1030828080001 | (05) | PA |