Provider Demographics
NPI:1649371592
Name:DOUGHERTY, GEORGE GEHR JR (MD MS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:GEHR
Last Name:DOUGHERTY
Suffix:JR
Gender:M
Credentials:MD MS
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Mailing Address - Street 1:7180 HIGHLAND DRIVE
Mailing Address - Street 2:116A VA MEDICAL CENTER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206
Mailing Address - Country:US
Mailing Address - Phone:412-365-5300
Mailing Address - Fax:412-365-5314
Practice Address - Street 1:7180 HIGHLAND DRIVE
Practice Address - Street 2:116A VA MEDICAL CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206
Practice Address - Country:US
Practice Address - Phone:412-365-5300
Practice Address - Fax:412-365-5314
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034204E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry