Provider Demographics
NPI:1669570453
Name:CHEEMA, MOHAN K (MD)
Entity type:Individual
Prefix:
First Name:MOHAN
Middle Name:K
Last Name:CHEEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:158 LOCKWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4902
Mailing Address - Country:US
Mailing Address - Phone:914-235-0544
Mailing Address - Fax:914-235-0552
Practice Address - Street 1:158 LOCKWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4902
Practice Address - Country:US
Practice Address - Phone:914-235-0544
Practice Address - Fax:914-235-0552
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY109342207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00193884Medicaid
NY00193884Medicaid
C12187Medicare UPIN