Shahbaz Riaz Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2008022457 Issued in MO

Legal business name

SHAHBAZ RIAZ MEDICAL PC

Doing business as

Shahbaz Riaz Medical PC

Practice address

1630 E Primrose St
Springfield, MO 65804-7929

Phone

(417) 885-4700

Fax

(417) 885-4777

NPI assigned

Oct 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shahbaz A Riaz, MD

Title

Ceo

Phone

(312) 498-3792

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHAHBAZ RIAZ MEDICAL PC Doing business as

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1427560309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KAYS POINT CT",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650494729",
            "telephone_number": "312-498-3792",
            "fax_number": "573-693-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047929",
            "telephone_number": "417-885-4700",
            "fax_number": "417-885-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHBAZ RIAZ MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "RIAZ",
        "authorized_official_first_name": "SHAHBAZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-498-3792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2008022457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "2008022457",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAHBAZ RIAZ MEDICAL PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer R Shaffer, MSW, LCSW
• Richard Dwight Shaffer, M.D.
• Amit Shah, MD
• Bharat Shah, M.D.
• Foram Ashwinkumar Shah, M.D.
• Greg Shank
• Jessica Shanks, PLBA
• Alix Shantz
• Share (Dancing Horizon Family Health)
• Ashleigh Brooke Sharkey, PA

• Internal Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.