MEDICARE: FERRUKH SHAMIM GHAURI DO

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
1	207Q00000X	Family Medicine Physician	331520	NY

General Provider Information

NPI Number	:	1184207656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERRUKH SHAMIM GHAURI DO

Provider Business Mailing Address
First Line	:	1345 AVENUE OF THE AMERICAS FL 8
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10105-0018
Country	:	US
Telephone Number	:	908-588-3635
Fax Number	:

Provider Business Practice Location Address
First Line	:	2518 QUEENS PLZ S
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-4101
Country	:	US
Telephone Number	:	646-647-1261
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2021
Last Update Date	:	03/23/2026

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