MEDICARE: DR. NADEEM SHABBIR MD

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	208000000X	Pediatrics Physician	194359	NY
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	60361	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538124391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADEEM SHABBIR MD

Provider Business Mailing Address
First Line	:	1432 S DOBSON RD STE 403
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-4777
Country	:	US
Telephone Number	:	480-412-7473
Fax Number	:	480-412-7500

Provider Business Practice Location Address
First Line	:	1432 S DOBSON RD STE 403
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-4777
Country	:	US
Telephone Number	:	480-412-7473
Fax Number	:	480-412-7500

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	10/16/2025

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