NPI 1013612605 · live from the CMS NPI Registry
Shady Al Khateeb
Psychiatry & Neurology, Psychiatry in Greer, SC. National Provider Identifier 1013612605, active.
NPI record
| NPI | 1013612605 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 109 Physicians Dr, Greer, SC 29650 |
| Practice phone | 864-797-9171 |
| Enumerated | April 3, 2023 |
| Last updated | July 12, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | LL90052 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.