Provider Demographics
NPI:1912908302
Name:CHEEMA, SAIF (MD)
Entity Type:Individual
Prefix:
First Name:SAIF
Middle Name:
Last Name:CHEEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 W TIENKEN RD STE B
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4473
Mailing Address - Country:US
Mailing Address - Phone:248-218-5777
Mailing Address - Fax:248-608-4663
Practice Address - Street 1:332 W TIENKEN RD STE B
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-4473
Practice Address - Country:US
Practice Address - Phone:248-218-5777
Practice Address - Fax:248-608-4663
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MISC058744207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383482025OtherPPOM
MI16842OtherMCARE
MI117199OtherCARE CHOICE
MI23D0970942OtherCLIA
MI3331219-004OtherCIGNA
MI4536161Medicaid
MI106334852OtherBCBS OF MICHIGAN
MIP62685OtherBLUE CARE NETWORK MI
MIF85518OtherHAP
MI117199OtherCARE CHOICE
MIF85518Medicare UPIN