Organization Active NPI

Shifa Neurology, PLLC

  • Neurology Physician
  • Canton, MI
National Provider Identifier
1760184741
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SHIFA NEUROLOGY, PLLC
Practice address
1473 Emerald Pines Dr
Canton, MI 48188-2231
Phone
(734) 578-3643
Fax
(734) 721-9448
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Nilofer Nisar, MDNPI 1922094564
Title
President
Phone
(734) 578-3643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1473 Emerald Pines Dr
Canton, MI 48188-2231

Mailing address

1473 Emerald Pines Dr
Canton, MI 48188-2231
Phone (734) 578-3643

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1760184741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 EMERALD PINES DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882231",
            "telephone_number": "734-578-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 EMERALD PINES DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882231",
            "telephone_number": "734-578-3643",
            "fax_number": "734-721-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "NISAR",
        "authorized_official_first_name": "NILOFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-578-3643",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.