MEDICARE: DR. ELIAS I SHARBA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01049564A	IN
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	4301059467	MI
3	207RP1001X	Pulmonary Disease Physician	4301059467	MI
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	01049564A	IN
5	207RP1001X	Pulmonary Disease Physician	01049564A	IN

General Provider Information

NPI Number	:	1558331447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIAS I SHARBA MD

Provider Business Mailing Address
First Line	:	18181 OAKWOOD BLVD STE 208
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-5031
Country	:	US
Telephone Number	:	313-271-5565
Fax Number	:	313-271-1053

Provider Business Practice Location Address
First Line	:	18181 OAKWOOD BLVD
Second Line	:	SUITE 208
City	:	DEARBORN
State	:	MI
Zip	:	48124-5032
Country	:	US
Telephone Number	:	313-271-5565
Fax Number	:	313-271-1053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	06/01/2026

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