Healthcare Provider Details

I. General information

NPI: 1336200302
Provider Name (Legal Business Name): KAUSAR SAYEED CHEEMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAUSAR SHAHNAZ MD

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36000 DARNALL LOOP
FORT HOOD TX
76544-5095
US

IV. Provider business mailing address

36000 DARNALL LOOP CRDAMC
FORT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-288-8025
  • Fax: 254-286-7326
Mailing address:
  • Phone: 254-288-8025
  • Fax: 254-286-7326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH1433
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: