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Individual

MR. TAALIBA AL-ALIM SAHIB JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AG ACNP

Contact information

Practice address
721 MCCORMICK FARM DR UNIT B, GLEN ALLEN, VA 23060-4035
(757) 214-3998
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(757) 316-5800
(757) 534-5190

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AC004504
MD
363L00000X
Nurse Practitioner
Primary
0024175434
VA
363LA2100X
Acute Care Nurse Practitioner
RN228237
GA

Other

Enumeration date
05/05/2016
Last updated
05/21/2024
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