Healthcare Provider Details

I. General information

NPI: 1417892449
Provider Name (Legal Business Name): MUHAMMAD TAMOOR AKHTAR SHAIKH M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 FAIRFAX AVE SUITE 563 - INTERNAL MEDICINE
NORFOLK VA
23507
US

IV. Provider business mailing address

MACON AND JOAN BROCK VHS AT OLD DOMINION UNIVERSITY-EVM P.O BOX 1980 GRADUATE MEDICAL EDUCATION
NORFOLK VA
23501
US

V. Phone/Fax

Practice location:
  • Phone: 757-446-5258
  • Fax:
Mailing address:
  • Phone: 757-446-5258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: