Shifa Therapeutics LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036121869 Issued in IL

Legal business name

SHIFA THERAPEUTICS LLC

Practice address

1019 Grove LN
Lombard, IL 60148-2309

Phone

(516) 521-8983

NPI assigned

Jul 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Muhammad Nouman Azhar, M.D.

Title

Managing Director

Phone

(516) 521-8983

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1174965784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 GROVE LN",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482309",
            "telephone_number": "516-521-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 GROVE LN",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482309",
            "telephone_number": "516-521-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "AZHAR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "NOUMAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "516-521-8983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036121869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Shelby
• Jialu Shen
• Sandra Jo Shepard, LCSW
• Edward Sherman, MD
• Rajit Shetty, MD
• Samir Shimi
• Julie Shuert, CCC SLP
• Veronica Shukin
• Oowais Siddique, DC
• Firdos Sabrina Siddiqui

• Psychiatry Physician in Lombard, IL
• Providers in Lombard, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.