1235489766 NPI number — IRSHAAD FARAZ SHAFFEEULLAH M.D.

Table of content: IRSHAAD FARAZ SHAFFEEULLAH M.D. (NPI 1235489766)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235489766 NPI number — IRSHAAD FARAZ SHAFFEEULLAH M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHAFFEEULLAH
Provider First Name:
IRSHAAD
Provider Middle Name:
FARAZ
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235489766
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13334 121 STREET
Provider Second Line Business Mailing Address:
SOUTH OZONE PARK
Provider Business Mailing Address City Name:
QUEENS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11420-3240
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-843-5378
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13334 121 STREET
Provider Second Line Business Practice Location Address:
SOUTH OZONE PARK
Provider Business Practice Location Address City Name:
QUEENS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11420-3240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-843-5378
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/12/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X , with the licence number:  216461 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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