Healthcare Provider Details

I. General information

NPI: 1497338941
Provider Name (Legal Business Name): CONNOR J SHEEHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13332 MIDLOTHIAN TPKE
MIDLOTHIAN VA
23113-4210
US

IV. Provider business mailing address

13332 MIDLOTHIAN TPKE
MIDLOTHIAN VA
23113-4210
US

V. Phone/Fax

Practice location:
  • Phone: 804-794-5598
  • Fax:
Mailing address:
  • Phone: 804-794-5598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101276450
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: