| Shahzad Iqbal Physician Pllc | |
|
8602 Musket St Ste 1f Queens Village NY 11427-2718 | |
| (347) 405-8160 | |
| (347) 405-8161 |
| Full Name | Shahzad Iqbal Physician Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8602 Musket St Ste 1f, Queens Village, New York |
| Authorized Official Name and Position | Shahzad Iqbal (OWNER) |
| Authorized Official Contact | 3474058160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahzad Iqbal Physician Pllc 8602 Musket St Ste 1f Queens Village NY 11427-2718 Ph: (347) 405-8160 | Shahzad Iqbal Physician Pllc 8602 Musket St Ste 1f Queens Village NY 11427-2718 Ph: (347) 405-8160 |
| NPI Number | 1316331168 |
|---|---|
| Provider Enumeration Date | 03/18/2015 |
| Last Update Date | 03/18/2015 |
| Medicare PECOS PAC ID | 5890007017 |
|---|---|
| Medicare Enrollment ID | O20150701000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316331168 | NPI | - | NPPES |
| 254895 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 254895 (New York) | Primary |
| Provider Name | Shahzad Iqbal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386667947 PECOS PAC ID: 7214965193 Enrollment ID: I20050802001269 |
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