Healthcare Provider Details

I. General information

NPI: 1659487585
Provider Name (Legal Business Name): FARAH M CHEEMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 RESEARCH BLVD SUITE 350
ROCKVILLE MD
20850-3215
US

IV. Provider business mailing address

6408 TONE DR
BETHESDA MD
20817-5816
US

V. Phone/Fax

Practice location:
  • Phone: 301-330-6982
  • Fax: 301-330-6984
Mailing address:
  • Phone: 301-229-1328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number217912
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: