Healthcare Provider Details

I. General information

NPI: 1164359519
Provider Name (Legal Business Name): ZAMIR ALI SHAIKH
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NORTON IM RESIDENCY CLINIC 96 15TH ST. NW, SUITE 111
NORTON VA
24273
US

IV. Provider business mailing address

NORTON IM RESIDENCY CLINIC 96 15TH ST. NW, SUITE 111
NORTON VA
24273
US

V. Phone/Fax

Practice location:
  • Phone: 276-439-1872
  • Fax:
Mailing address:
  • Phone:
  • 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: