Provider Demographics
NPI:1174687248
Name:CHEEMA, MOHIUDDIN (MD)
Entity Type:Individual
Prefix:
First Name:MOHIUDDIN
Middle Name:
Last Name:CHEEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 409
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:860-522-4158
Mailing Address - Fax:860-524-2652
Practice Address - Street 1:85 SEYMOUR ST
Practice Address - Street 2:SUITE 409
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5501
Practice Address - Country:US
Practice Address - Phone:860-522-4158
Practice Address - Fax:860-524-2652
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0440012085R0204X, 208600000X, 208G00000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010044001CT01OtherANTHEM BCBS AND BCFP
CT06-1406459OtherUNITED HEALTHCARE
CT06-1406459OtherCOMMUNITY HEALTH NETWORK
CT06-1406459OtherMULTIPLAN
CT06-1406459OtherGREAT WEST
CT441960OtherWELLCARE
CT06-1406459OtherPRIVATE HEALTHCARE SYSTEM
CT001440015Medicaid
CT06-1406459OtherTRICARE
CT06-1406459OtherPIONEER
CT06-1406459OtherNORTHEAST HEALTH DIRECT
CT06-1406459OtherFOCUS
CT2V9398OtherHEALTH NET
CT7974948OtherAETNA
CT06-1406459OtherHEALTH NEW ENGLAND
CT06-1406459OtherCORVEL
CT0601175OtherCIGNA
CT044001OtherCONNECTICARE
CTP3819088OtherOXFORD
CT06-1406459OtherCOMMUNITY HEALTH NETWORK
CT2V9398OtherHEALTH NET