# INTERCITY GASTROENTEROLOGY P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346779501
- **Authorized official:** DR. GHULAMULLAH SHAHZAD (PRESIDENT)
- **Authorized official phone:** (516) 784-8331

## Contact information

- **Practice address:** 19303 UNION TPKE, FRESH MEADOWS, NY 11366-1874
- **Practice address phone:** (516) 721-4648
- **Mailing address:** 957 N 1ST ST, NEW HYDE PARK, NY 11040-2821
- **Mailing address phone:** (516) 784-8331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 252160 | NY | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2017
- **Last updated:** 08/31/2022