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NPI Code Detail

MEDICARE: BAKHT SULTAN CHEEMA M. D.

MEDICARE: BAKHT SULTAN CHEEMA M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramME140100FL
2207RG0100XGastroenterology PhysicianME140100FL

General Provider Information

NPI Number : 1023451713
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAKHT SULTAN CHEEMA M. D.
Provider Business Mailing Address
First Line : 2151 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4416
Country : US
Telephone Number : 904-388-8686
Fax Number :
Provider Business Practice Location Address
First Line : 2151 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4416
Country : US
Telephone Number : 904-388-8686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2013
Last Update Date : 05/26/2022

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Directions to “ BAKHT SULTAN CHEEMA M. D.” Practice Location

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