Healthcare Provider Details

I. General information

NPI: 1730383332
Provider Name (Legal Business Name): BUSHRA IQBAL CHEEMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 05/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 MAIN ST SUITE 500A
RICHMOND TX
77469-3247
US

IV. Provider business mailing address

PO BOX 18785
SUGAR LAND TX
77496-8785
US

V. Phone/Fax

Practice location:
  • Phone: 281-239-2221
  • Fax: 281-239-2279
Mailing address:
  • Phone: 281-239-2221
  • Fax: 281-239-2279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberM2921
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: