Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abul Shahidullah, M. D., Medical Office

Organization Ambulatory Surgical Clinic/Center · NPI 1164778130

Abul Shahidullah, M. D., Medical Office is an Ambulatory Surgical Clinic/Center in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

62 65 Forest Ave
Ridgewood, NY 11385-2001
Phone: (718) 366-7999
Fax: (718) 366-6468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 187626 (NY)

Record details

NPI number1164778130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abul Shahidullah — Owner · (718) 366-7999
NPI enumeratedJuly 27, 2012
Last updated in NPPESJuly 27, 2012
Mailing address899 Woodmere Dr, Valley Stream, NY 11581-2735

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