Provider Demographics
NPI:1295155885
Name:AL-SHAIKHLY, TAHA (MBCHB)
Entity type:Individual
Prefix:
First Name:TAHA
Middle Name:
Last Name:AL-SHAIKHLY
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:TAHA
Other - Middle Name:
Other - Last Name:AL SHAIKHLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBCHB
Mailing Address - Street 1:500 UNIVERSITY DRIVE
Mailing Address - Street 2:P.O. BOX 850, MC H041
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033
Mailing Address - Country:US
Mailing Address - Phone:717-531-6886
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DRIVE MC A410
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-0858
Practice Address - Country:US
Practice Address - Phone:800-243-1455
Practice Address - Fax:717-531-0919
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD467739207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology