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Individual

SHAHZAD IQBAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 STATION PLAZA NORTH, SUITE 428, MINEOLA, NY 11501-3819
(516) 663-2066
(516) 663-4655
Mailing address
1111 MONTAUK HWY, 3RD FLOOR, WEST ISLIP, NY 11795
(631) 376-0001
(631) 676-0003

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002011
NY
207RG0100X
Gastroenterology Physician
Primary
254895
NY
207RG0100X
Gastroenterology Physician
84143
SC

Other

Enumeration date
07/25/2006
Last updated
04/15/2021
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