Healthcare Provider Details

I. General information

NPI: 1790498756
Provider Name (Legal Business Name): J&H CHEEMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4232 WILLIAMS BLVD STE 108
KENNER LA
70065-2271
US

IV. Provider business mailing address

4232 WILLIAMS BLVD STE 108
KENNER LA
70065-2271
US

V. Phone/Fax

Practice location:
  • Phone: 504-405-5582
  • Fax: 504-405-5558
Mailing address:
  • Phone: 504-319-1323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAZIA NADEEM
Title or Position: CHIEF ADMINISTRATOR OFFICER
Credential:
Phone: 504-575-6945