Wazir, Shahid

Wazir, Shahid is an individual health care provider with primary practice located at 112 Ne Crescent Ave , Peoria IL 61606-1901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wazir, Shahid can be contacted via phone (309) 672-4670.

Contact Information

Primary practice address
112 Ne Crescent Ave Peoria IL 61606-1901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57008431 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036124816 Illinois

Profile Details

NPI number 1548440803
LBN Legal business name Wazir, Shahid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Apr 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548440803 NPPES
Illinois Other 036124816 LICENSE

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