Provider Demographics
NPI:1609322361
Name:CHEEMA, HAJRA SHAHBAZ (MD)
Entity type:Individual
Prefix:
First Name:HAJRA
Middle Name:SHAHBAZ
Last Name:CHEEMA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3035 HAMILTON MASON RD STE 203
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5545
Mailing Address - Country:US
Mailing Address - Phone:513-741-7200
Mailing Address - Fax:513-741-1977
Practice Address - Street 1:3035 HAMILTON MASON RD STE 203
Practice Address - Street 2:
Practice Address - City:FAIRFIELD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45011-5545
Practice Address - Country:US
Practice Address - Phone:513-741-7200
Practice Address - Fax:513-741-1977
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS27680207Q00000X
ALMD.38509208M00000X
OH35.152895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1E3804OtherFAMILY MEDICINE