NISREEN SHABBIR EZUDDIN MD NPI 1073017174

NPI Information

  • NPI: 1073017174
  • Provider Name: NISREEN SHABBIR EZUDDIN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 160 NW 170TH ST
    NORTH MIAMI BEACH, FL
    ZIP 33169
  • Phone: (305) 651-1100

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NPI Details

Nisreen Shabbir Ezuddin, MD is a diagnostic radiology radiology in North Miami Beach, FL with 9 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Nisreen Shabbir Ezuddin, MD NPI is 1073017174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

160 NW 170TH ST
NORTH MIAMI BEACH, FL
ZIP 33169-521
Phone: (305) 651-1100

The NPI 1073017174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2018 and was last updated on 12/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional Radiology2025039391MISSOURINo
22085R0202XRadiologyDiagnostic Radiology0451790KANSASNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
42085R0204XRadiologyVascular & Interventional Radiology0451790KANSASNo
52085R0202XRadiologyDiagnostic Radiology2025039391MISSOURINo
62085R0202XRadiologyDiagnostic RadiologyME146753FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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