Provider Demographics
NPI:1588663355
Name:CHEEMA, MUHAMMAD AKHTAR (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:AKHTAR
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 1:8248 243RD ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1322
Mailing Address - Country:US
Mailing Address - Phone:631-944-1245
Mailing Address - Fax:
Practice Address - Street 1:8248 243RD ST
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1322
Practice Address - Country:US
Practice Address - Phone:631-944-1245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV20766207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0102751000Medicaid
OH2148910Medicaid
WV0897593Medicare ID - Type Unspecified
OH2148910Medicaid