Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Juvaria Shahabuddin, MD

Individual provider Psychiatry Physician · NPI 1801152673

Juvaria Shahabuddin, MD is a Psychiatry Physician in Kenosha, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12225 71st St
Kenosha, WI 53142-7320
Phone: (877) 666-7223
Fax: (262) 948-4841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (708) 216-3750

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 67758 (WI)

Record details

NPI number1801152673
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2012
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing addressPo Box 735044, Chicago, IL 60673-5044

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