INTERCITY GASTROENTEROLOGY P.C NPI 1346779501

NPI Information

  • NPI: 1346779501
  • Provider Name: INTERCITY GASTROENTEROLOGY P.C
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 33D2148826
  • Address: 19303 UNION TPKE
    FRESH MEADOWS, NY
    ZIP 11366
  • Phone: (516) 721-4648

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NPI Details

INTERCITY GASTROENTEROLOGY P.C is a gastroenterology internal medicine in Fresh Meadows, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. INTERCITY GASTROENTEROLOGY P.C NPI is 1346779501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19303 UNION TPKE
FRESH MEADOWS, NY
ZIP 11366-874
Phone: (516) 721-4648

The provider's authorized official is Ghulamullah Shahzad .
The authorized official title is President and has the following contact phone number (516) 784-8331.

The CLIA number assigned to this NPI record is 33D2148826 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/9/2017 and was last updated on 8/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology252160NEW YORKNo
2207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103190443MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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