Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAHBAZ SHAHID NISAR, MD
ActiveSHAHBAZ SHAHID NISAR, MD is a Geriatric Medicine healthcare provider located in BURR RIDGE, Illinois. NPI 1659647717 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · BURR RIDGE, IL
Registration Details
- NPI Number
- 1659647717
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2012 (14.403098588069 yrs)
- Last Updated
- Aug 22, 2025
- Licenses
-
01084868A (IN)4301100567 (MI)036-175118 (IL)
Practice Information
- Address
-
6101 S COUNTY LINE RDBURR RIDGE, IL, 605278132Browse IL providers · Browse ZIP 60527
- Phone
- 6306869000
- Fax
- 8442352578
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Geriatric Medicine
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.