Individual
DR. SHAH MOHAMMAD GIASHUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 6TH ST, ROOM: 2047, DEPT. OF PATHOLOGY AND LAB. MEDICINE, BROOKLYN, NY 11215-3609
(718) 780-5630
Mailing address
77A POWERHOUSE RD, ROSLYN HEIGHTS, NY 11577-2027
(917) 376-5739
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
238546-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
238546-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02931753
—
NY
Enumeration date
05/25/2007
Last updated
09/19/2022
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