Healthcare Provider Details

I. General information

NPI: 1477725588
Provider Name (Legal Business Name): ABDUSSALAM CHEEMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2008
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5312 CAROLINA PL
SPRINGFIELD VA
22151-4401
US

IV. Provider business mailing address

5312 CAROLINA PL
SPRINGFIELD VA
22151-4401
US

V. Phone/Fax

Practice location:
  • Phone: 703-914-2723
  • Fax: 703-914-2753
Mailing address:
  • Phone: 703-914-2723
  • Fax: 703-914-2753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101248398
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: