Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY ERNEST SHADID, MD
Active Sole ProprietorDR. GREGORY ERNEST SHADID, MD is a Psychiatry healthcare provider located in SOUTH BEND, Indiana. NPI 1811985062 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · SOUTH BEND, IN
Registration Details
- NPI Number
- 1811985062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2005 (20.808155535913 yrs)
- Last Updated
- Jun 3, 2024
- Licenses
-
01082994A (IN)OK20542 (OK)K1056 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1213 LEEPER AVESOUTH BEND, IN, 466171209Browse IN providers · Browse ZIP 46617
- Phone
- 5743028786
- Fax
- 4053104417
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| SHAGUFTA J CHOWHAN | M.D. | 1881669695 |
| ROBERT T RASTER | MD | 1417924879 |
| JOHN F ZWERNEMAN | MD | 1376510610 |
| DR. DORIS E JENSEN | M.D. | 1881643161 |
| JOHN J HASKIN JR. | M.D. | 1154351393 |
| MANANA GEGESHIDZE | MD | 1598786493 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.