Provider Demographics
NPI:1174979587
Name:SAHIB, TAALIBA AL-ALIM JR (AG ACNP)
Entity type:Individual
Prefix:MR
First Name:TAALIBA
Middle Name:AL-ALIM
Last Name:SAHIB
Suffix:JR
Gender:M
Credentials:AG ACNP
Other - Prefix:
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Mailing Address - Street 1:100 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-4017
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:721 MCCORMICK FARM DR UNIT B
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-4035
Practice Address - Country:US
Practice Address - Phone:757-214-3998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDAC004504207R00000X
VA0024175434363L00000X
GARN228237363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care