Provider Demographics
NPI:1376750372
Name:CHEEMA, QASIM M (MD)
Entity Type:Individual
Prefix:
First Name:QASIM
Middle Name:M
Last Name:CHEEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1860 CHADWICK DR
Mailing Address - Street 2:SUITE 256
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39204-3463
Mailing Address - Country:US
Mailing Address - Phone:601-376-1394
Mailing Address - Fax:601-376-1840
Practice Address - Street 1:1860 CHADWICK DR
Practice Address - Street 2:SUITE 256
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-3463
Practice Address - Country:US
Practice Address - Phone:601-376-1394
Practice Address - Fax:601-376-1840
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2020-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI53169-20207RI0011X
MSMS23204207RI0011X
MS23204207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease