Provider Demographics
NPI:1942409446
Name:CHEEMA, AMBER SALEEM (MD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:SALEEM
Last Name:CHEEMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMBER
Other - Middle Name:S
Other - Last Name:CHEEMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:23 LIBERTY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:HEBRON
Mailing Address - State:CT
Mailing Address - Zip Code:06248-1553
Mailing Address - Country:US
Mailing Address - Phone:860-228-1119
Mailing Address - Fax:860-228-4314
Practice Address - Street 1:23 LIBERTY DR
Practice Address - Street 2:SUITE A
Practice Address - City:HEBRON
Practice Address - State:CT
Practice Address - Zip Code:06248-1553
Practice Address - Country:US
Practice Address - Phone:860-228-1119
Practice Address - Fax:860-228-4314
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT049260207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1942409446OtherNPI