Muhammad S Shurbaji, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD0000020985 Issued in TN

Practice address

Dogwood Ave, Vamc BLDG #1
Dept. of Pathology Etsu
Johnson City, TN 37614

Phone

(423) 439-6210

Fax

(423) 439-8060

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740212224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. OF PATHOLOGY ETSU",
            "address_2": "P.O. BOX 70568",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37614",
            "telephone_number": "423-439-6210",
            "fax_number": "423-439-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOGWOOD AVE, VAMC BLDG #1",
            "address_2": "DEPT. OF PATHOLOGY ETSU",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37614",
            "telephone_number": "423-439-6210",
            "fax_number": "423-439-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURBAJI",
        "first_name": "MUHAMMAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD0000020985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Nicole Shubert, MA, LPC/MHSP
• Hannah Fay Shultz
• Emily Ann Shumate, PMHNP-BC
• James Montgomery Shumate, PT, DPT
• Amberli Kyra Shupe, MA, NCC
• Agostino Siaw
• Isabella Sibaja
• David A Sibley, M.D,
• Denise S Sibley, MD
• Afreen N. Siddiqui, MD

• Anatomic Pathology & Clinical Pathology Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.