Individual
HISHAM M. SHAWISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 EAST AVE, ERIE, PA 16503-1524
(814) 455-5505
(814) 455-5515
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(814) 455-5505
(814) 455-5515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD439870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087455
—
OH
05
—
102481835
—
PA
Enumeration date
06/01/2007
Last updated
07/21/2022
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