Provider Demographics
NPI:1457483042
Name:CHEEMA, SOHAIL IQBAL (MD)
Entity Type:Individual
Prefix:
First Name:SOHAIL
Middle Name:IQBAL
Last Name:CHEEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 POST AVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2233
Mailing Address - Country:US
Mailing Address - Phone:516-539-0806
Mailing Address - Fax:718-323-6576
Practice Address - Street 1:265 POST AVE
Practice Address - Street 2:SUITE116
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2233
Practice Address - Country:US
Practice Address - Phone:516-833-5627
Practice Address - Fax:718-323-6576
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225686-12084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06401HOtherMEDICARE - GHI
NY02538892Medicaid
NY06401HOtherMEDICARE - GHI
NYI02621Medicare UPIN