Basic Information
Provider Information
NPI: 1669610655
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEEMA
FirstName: FAREEHA
MiddleName: HUSSAIN
NamePrefix: DR.
NameSuffix:  
Credential: M.B.B.S
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6307 GRANADA WAY
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782571733
CountryCode: US
TelephoneNumber: 7322366087
FaxNumber:  
Practice Location
Address1: 2211 NW MILITARY HWY
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782131859
CountryCode: US
TelephoneNumber: 2106962264
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/28/2009
LastUpdateDate: 07/31/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XQ0025TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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