Provider Demographics
NPI:1154577120
Name:CHEEMA, ANAHIT SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:ANAHIT
Middle Name:SINGH
Last Name:CHEEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1125
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-0125
Mailing Address - Country:US
Mailing Address - Phone:314-736-6590
Mailing Address - Fax:
Practice Address - Street 1:11155 DUNN RD
Practice Address - Street 2:SUITE 207N
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-6150
Practice Address - Country:US
Practice Address - Phone:314-736-6590
Practice Address - Fax:314-736-7359
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013018204207RN0300X
IL036133483207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1154577120Medicaid
IL036133483Medicaid