Healthcare Provider Details

I. General information

NPI: 1881910040
Provider Name (Legal Business Name): MOHAMMAD HAMMAD CHEEMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 06/08/2023
Certification Date: 06/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4232 WILLIAMS BLVD SUITE #108
KENNER LA
70065-2271
US

IV. Provider business mailing address

73 MADRID AVE
KENNER LA
70065-3148
US

V. Phone/Fax

Practice location:
  • Phone: 504-405-5582
  • Fax:
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 NumberMD.206415
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: