Provider Demographics
NPI:1265490874
Name:TAPP, SHEILA E (MD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:E
Last Name:TAPP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:
Practice Address - Street 1:850 ENTERPRISE PKWY
Practice Address - Street 2:SUITE 2200
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6251
Practice Address - Country:US
Practice Address - Phone:757-251-2170
Practice Address - Fax:757-251-2185
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2013-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA153473207R00000X
VA0101253827207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1265490874Medicaid