Shahidullah, Abul B

Shahidullah, Abul B is an sole proprietor health care provider with primary practice located at 62-65 Forest Avenue , Ridgewood NY 11385. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shahidullah, Abul B can be contacted via phone (718) 366-7999.

Contact Information

Primary practice address
62-65 Forest Avenue Ridgewood NY 11385
Phone: (718) 366-7999
Fax: (718) 366-6468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 187626 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 187626 New York

Profile Details

NPI number 1063481778
LBN Legal business name Shahidullah, Abul B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2006
Last updated Oct 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063481778 NPPES
New York MEDICAID 01591217

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