Individual
SHAHID A MUGHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 762-6622
(607) 763-5064
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220939
NY
207R00000X
Internal Medicine Physician
32776
AZ
208M00000X
Hospitalist Physician
Primary
220939
NY
208M00000X
Hospitalist Physician
32776
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02282020
—
NY
05
—
858699
—
AZ
Enumeration date
08/26/2005
Last updated
11/19/2011
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