Healthcare Provider Details

I. General information

NPI: 1093201451
Provider Name (Legal Business Name): TAHA SHEIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 COLISEUM DR STE 104
HAMPTON VA
23666-5963
US

IV. Provider business mailing address

6350 CENTER DR STE 200
NORFOLK VA
23502-4107
US

V. Phone/Fax

Practice location:
  • Phone: 757-827-9400
  • Fax: 757-827-9320
Mailing address:
  • Phone: 757-905-5558
  • Fax: 757-213-5762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number0101282689
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.150822
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: