ABUL SHAHIDULLAH, M. D., MEDICAL OFFICE; NPI #1164778130

Contact Information

ABUL SHAHIDULLAH, M. D., MEDICAL OFFICE

62 65 FOREST AVE
RIDGEWOOD, NY 11385-2001

Phone: 718-366-7999
Fax: 718-366-6468
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ABUL SHAHIDULLAH, M. D., MEDICAL OFFICE

NPI Number 1164778130

LBN Legal business name ABUL SHAHIDULLAH, M. D., MEDICAL OFFICE

Authorized official ABUL SHAHIDULLAH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/27/2012

Last updated 07/27/2012 - About 14 years ago

Identifiers

License #

187626

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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