MEDICARE: HAJRA SHAHBAZ CHEEMA MD

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
1	207Q00000X	Family Medicine Physician	27680	MS
2	208M00000X	Hospitalist Physician	MD.38509	AL
3	207Q00000X	Family Medicine Physician	35.152895	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1E3804	OTHER	MS	FAMILY MEDICINE

General Provider Information

NPI Number	:	1609322361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAJRA SHAHBAZ CHEEMA MD

Provider Business Mailing Address
First Line	:	3035 HAMILTON MASON RD STE 203
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-5545
Country	:	US
Telephone Number	:	513-741-7200
Fax Number	:	513-741-1977

Provider Business Practice Location Address
First Line	:	3035 HAMILTON MASON RD STE 203
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-5545
Country	:	US
Telephone Number	:	513-741-7200
Fax Number	:	513-741-1977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	04/28/2025

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