Ghulamullah Shahzad Medical PLLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

GHULAMULLAH SHAHZAD MEDICAL PLLC

Practice address

19303 Union Tpke
Fresh Meadows, NY 11366-1874

Phone

(516) 721-4648

NPI assigned

Jun 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ghulamullah ShahzadNPI 1710128996

Title

MD

Phone

(516) 784-8331

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ghulamullah Shahzad, MD

  • Gastroenterology Physician
  • Fresh Meadows, NY
  • NPI 1710128996
  Medicare reassignment NPD Authorized official
• Gang He, MD, PHD, FCAP

  • Anatomic Pathology Physician
  • Bayside, NY
  • NPI 1164613667
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1942792205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 N 1ST ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402821",
            "telephone_number": "718-200-0720",
            "fax_number": "516-706-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19303 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661874",
            "telephone_number": "516-721-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHULAMULLAH SHAHZAD MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-03",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "SHAHZAD",
        "authorized_official_first_name": "GHULAMULLAH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-784-8331"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Georgiades
• S Gerov, PHARM D.
• Aliza B Gettenberg, DDS
• Eileen Ghastin, LMSW, MSED
• Joyce Gertrude Gholson, DO
• William Gibbs Jr., M.D.
• Jonathan Glickman
• Tanya Gnanaraj, R.N.
• Theodore Alexander Goetz, OTR/L
• Carly Goga, PA-C

• Anatomic Pathology & Clinical Pathology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.