Provider Demographics
NPI:1083611974
Name:CHEEMA, SHAFIQ UR- REHMAN (MD)
Entity type:Individual
Prefix:DR
First Name:SHAFIQ
Middle Name:UR- REHMAN
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 1:2309 E SAUNDERS ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5434
Mailing Address - Country:US
Mailing Address - Phone:956-723-4673
Mailing Address - Fax:956-723-3133
Practice Address - Street 1:2309 E SAUNDERS ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5434
Practice Address - Country:US
Practice Address - Phone:956-723-4673
Practice Address - Fax:956-723-3133
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8013207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190612505Medicaid
TX1083611974OtherMEDICARE RAILROAD
TX1083611974OtherMEDICARE RAILROAD
TX190612505Medicaid
TXTXB119653Medicare PIN