Basic Information
Provider Information
NPI: 1295174431
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEEMA
FirstName: RABIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13401 N WESTERN AVE
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731141408
CountryCode: US
TelephoneNumber: 4052724953
FaxNumber: 4052724956
Practice Location
Address1: 13401 N WESTERN AVE
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 73114
CountryCode: US
TelephoneNumber: 4052724953
FaxNumber: 4052724956
Other Information
ProviderEnumerationDate: 06/20/2013
LastUpdateDate: 10/17/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X55302CTN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RR0500X35493OKY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


Home