Provider Demographics
NPI:1245597129
Name:CHEEMA, SARAH IJAZ (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:IJAZ
Last Name:CHEEMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 ASHVILLE AVE STE 60
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6679
Mailing Address - Country:US
Mailing Address - Phone:919-756-6030
Mailing Address - Fax:
Practice Address - Street 1:216 ASHVILLE AVE STE 60
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6679
Practice Address - Country:US
Practice Address - Phone:919-655-7873
Practice Address - Fax:919-535-9205
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018-01932208000000X
VA0101258789208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics