Provider Demographics
NPI:1881910040
Name:CHEEMA, MOHAMMAD HAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:HAMMAD
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 1:73 MADRID AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3148
Mailing Address - Country:US
Mailing Address - Phone:504-319-1323
Mailing Address - Fax:
Practice Address - Street 1:4232 WILLIAMS BLVD
Practice Address - Street 2:SUITE #108
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2271
Practice Address - Country:US
Practice Address - Phone:504-405-5582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.206415207QS1201X, 207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2111523Medicaid
LA2111523Medicaid