Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WARDHA SHABBIR, MD
ActiveWARDHA SHABBIR, MD is a Sports Medicine healthcare provider located in JACKSON, Michigan. NPI 1104497395 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · JACKSON, MI
Registration Details
- NPI Number
- 1104497395
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2021 (5.1443125034235 yrs)
- Last Updated
- Jul 1, 2025
- Licenses
-
4301513354 (MI)4351047565 (MI)
Practice Information
- Address
-
205 N EAST AVEJACKSON, MI, 492011753Browse MI providers · Browse ZIP 49201
- Phone
- 5172054800
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.