Provider Demographics
NPI:1821050485
Name:CHEEMA, MUHAMMAD AZAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:AZAM
Last Name:CHEEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:115 SULLYS TRL STE 4
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-4571
Mailing Address - Country:US
Mailing Address - Phone:585-662-5945
Mailing Address - Fax:585-673-2181
Practice Address - Street 1:9 BROMSGROVE HL
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-9742
Practice Address - Country:US
Practice Address - Phone:585-313-7509
Practice Address - Fax:585-268-6738
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2020-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2337352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
P010233735OtherTHE MONROE PLAN, BCBS MAN
P020233735OtherBCBS INDEMNITY PLANS
155525EUOtherPREFERRED CARE
NY01420800Medicaid
NY01420800Medicaid
P020233735OtherBCBS INDEMNITY PLANS
155525EUOtherPREFERRED CARE