Provider Demographics
NPI:1184832735
Name:SHAIKH, TAHIR AIJAZ (DO, MBBS)
Entity Type:Individual
Prefix:
First Name:TAHIR
Middle Name:AIJAZ
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:DO, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:611 S CARLIN SPRINGS RD
Mailing Address - Street 2:STE 514
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-1088
Mailing Address - Country:US
Mailing Address - Phone:703-751-2100
Mailing Address - Fax:703-751-2101
Practice Address - Street 1:50 S PICKETT ST STE 201
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-7208
Practice Address - Country:US
Practice Address - Phone:703-751-2100
Practice Address - Fax:703-751-2101
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102202240207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVAA103496Medicare PIN