MEDICARE: EHAB ALSHURBAJI 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	207RP1001X	Pulmonary Disease Physician	MD489377C	PA
2	207R00000X	Internal Medicine Physician	AP22784393106	MD
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	74318	TN
4	208M00000X	Hospitalist Physician	35.130614	OH
5	207R00000X	Internal Medicine Physician	01078037A	IN
6	207R00000X	Internal Medicine Physician	35.130614	OH
7	207RP1001X	Pulmonary Disease Physician	74318	TN
8	207R00000X	Internal Medicine Physician	A164151	CA
9	207RP1001X	Pulmonary Disease Physician	95186	GA
10	208M00000X	Hospitalist Physician	01078037A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811339161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EHAB ALSHURBAJI MD

Provider Business Mailing Address
First Line	:	2500 W 12TH ST STE C
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-4500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W 12TH ST STE C
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-4500
Country	:	US
Telephone Number	:	814-877-8730
Fax Number	:	814-877-8731

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

Provider Enumeration Date	:	07/26/2013
Last Update Date	:	12/11/2025

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Directions to “ EHAB ALSHURBAJI MD” Practice Location

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