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NPI Code Detail

MEDICARE: DR. SHAH MOHAMMAD GIASHUDDIN MD

MEDICARE: DR. SHAH MOHAMMAD GIASHUDDIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZC0500XCytopathology Physician238546-1NY
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician238546-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538370929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAH MOHAMMAD GIASHUDDIN MD
Provider Business Mailing Address
First Line : 77A POWERHOUSE RD
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-2027
Country : US
Telephone Number : 917-376-5739
Fax Number :
Provider Business Practice Location Address
First Line : 506 6TH ST
Second Line : ROOM: 2047, DEPT. OF PATHOLOGY AND LAB. MEDICINE
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-780-5630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 09/19/2022

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