Organization
SHAHZAD IQBAL PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHZAD IQBAL MD (OWNER)
(347) 405-8160
Entity
Organization
Contact information
Practice address
8602 MUSKET ST STE 1F, QUEENS VILLAGE, NY 11427-2718
(347) 405-8160
(347) 405-8161
Mailing address
8602 MUSKET ST STE 1F, QUEENS VILLAGE, NY 11427-2718
(347) 405-8160
(347) 405-8161
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
254895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254895
LICENSE
NY
Enumeration date
03/18/2015
Last updated
03/18/2015
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