Organization
GHULAMULLAH SHAHZAD MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHULAMULLAH SHAHZAD (MD)
(516) 784-8331
Entity
Organization
Contact information
Practice address
19303 UNION TPKE, FRESH MEADOWS, NY 11366-1874
(516) 721-4648
Mailing address
957 N 1ST ST, NEW HYDE PARK, NY 11040-2821
(718) 200-0720
(516) 706-6026
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Enumeration date
06/03/2018
Last updated
08/31/2022
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