Provider Demographics
NPI:1053491530
Name:HOUDA, JOSEPH H (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:H
Last Name:HOUDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2566 HAYMAKER ROAD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3554
Mailing Address - Country:US
Mailing Address - Phone:412-858-7088
Mailing Address - Fax:412-858-7016
Practice Address - Street 1:2566 HAYMAKER ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3554
Practice Address - Country:US
Practice Address - Phone:412-858-7088
Practice Address - Fax:412-858-7016
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428819208G00000X
OH35.097872208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0052723Medicaid
PA1030828080001Medicaid
OH0052723Medicaid
PA1030828080001Medicaid