Shazia Wadood, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301079852 Issued in MI

Practice address

12170 Conant St
Unit: C/2
Detroit, MI 48212

Phone

(586) 604-8108

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Family Care

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1164756417
  NPD Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1861439788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12170 CONANT ST",
            "address_2": "STE C2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482124137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12170 CONANT ST",
            "address_2": "UNIT: C/2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48212",
            "telephone_number": "586-604-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADOOD",
        "first_name": "SHAZIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301079852",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301079852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491643810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanette M. Wade, LMSW
• Nicole Wade, PM
• Tanya Wade, LLMSW
• Vashti Lavonne Wade, NURSE
• Lorraine Wadlington
• Camaria Shai Wafer, FULL SPECTRUM DOULA
• Charles Anthony-Erik Wafer
• Jaelle Wafer, CHW
• Raechel Wafford
• Jayyid Ahmad Wafiy

• Pediatrics Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.