Provider Demographics
NPI:1578533857
Name:SHEIKH, TARIQ MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:TARIQ
Middle Name:MOHAMMED
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 MIDDLECOFF DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2688
Mailing Address - Country:US
Mailing Address - Phone:804-530-3582
Mailing Address - Fax:
Practice Address - Street 1:1716 E HUNDRED RD STE 101
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-3301
Practice Address - Country:US
Practice Address - Phone:804-681-0347
Practice Address - Fax:804-681-0349
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235382208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010147301Medicaid