Provider Demographics
NPI:1134391840
Name:CHEEMA, TARIQ JAVED (MD)
Entity type:Individual
Prefix:
First Name:TARIQ
Middle Name:JAVED
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 1:490 E NORTH AVE
Mailing Address - Street 2:STE. 300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4771
Mailing Address - Country:US
Mailing Address - Phone:412-322-7202
Mailing Address - Fax:412-322-2144
Practice Address - Street 1:490 E NORTH AVE
Practice Address - Street 2:STE. 300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4771
Practice Address - Country:US
Practice Address - Phone:412-322-7202
Practice Address - Fax:412-322-2144
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433361207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1025395140001Medicaid
WV3810021352Medicaid
OH3138894Medicaid
WV3810021352Medicaid
PA185737NJYMedicare PIN