| Ghulamullah Shahzad Medical Pllc | |
|
19303 Union Tpke Fresh Meadows NY 11366-1874 | |
| (516) 721-4648 | |
| Not Available |
| Full Name | Ghulamullah Shahzad Medical Pllc |
|---|---|
| Speciality | Pathology |
| Location | 19303 Union Tpke, Fresh Meadows, New York |
| Authorized Official Name and Position | Ghulamullah Shahzad (MD) |
| Authorized Official Contact | 5167848331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghulamullah Shahzad Medical Pllc 957 N 1st St New Hyde Park NY 11040-2821 Ph: (718) 200-0720 | Ghulamullah Shahzad Medical Pllc 19303 Union Tpke Fresh Meadows NY 11366-1874 Ph: (516) 721-4648 |
| NPI Number | 1942792205 |
|---|---|
| Provider Enumeration Date | 06/03/2018 |
| Last Update Date | 08/31/2022 |
| Medicare PECOS PAC ID | 7012365687 |
|---|---|
| Medicare Enrollment ID | O20231121002427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942792205 | NPI | - | NPPES |
| Provider Name | Ghulamullah Shahzad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710128996 PECOS PAC ID: 8224164769 Enrollment ID: I20100412000051 |
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