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General NPI Number Information
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NPI Number | 1255358743
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Entity Type | Individual
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Provider Name | OMAR MUKHTAR CHEEMA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 2900 W OKLAHOMA AVE FL 4
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City | MILWAUKEE
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State | WI
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Zip | 53215-4330
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Country | US
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Telephone | 414-646-2438
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 W OKLAHOMA AVE FL 4
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City | MILWAUKEE
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State | WI
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Zip | 53215-4330
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Country | US
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Telephone | 414-646-2438
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M8591
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 59941
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License Number State | WI
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