MOHAMED HUSAM SHITIA DO NPI 1861996555

NPI Information

  • NPI: 1861996555
  • Provider Name: MOHAMED HUSAM SHITIA, DO
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 LACKAWANNA AVE
    SCRANTON, PA
    ZIP 18503
  • Phone: (570) 961-3823

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NPI Details

Mohamed Husam Shitia, DO is a sports medicine physical medicine rehabilitation in Scranton, PA with 8 years of experience. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. Mohamed Husam Shitia, DO NPI is 1861996555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduation Year:2018

The provider's business location address is:

300 LACKAWANNA AVE
SCRANTON, PA
ZIP 18503-001
Phone: (570) 961-3823

The NPI 1861996555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2018 and was last updated on 6/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports Medicine34.015381OHIONo
22081S0010XPhysical Medicine & RehabilitationSports Medicine0102207057VIRGINIANo
32081S0010XPhysical Medicine & RehabilitationSports MedicineOS022919PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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