Provider Demographics
NPI:1902888332
Name:CHEEMA, WAQAR AHMED (MD)
Entity type:Individual
Prefix:
First Name:WAQAR
Middle Name:AHMED
Last Name:CHEEMA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:WAQAR
Other - Middle Name:A
Other - Last Name:CHEEMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:BMCHS PROVIDER ENROLLMENT
Mailing Address - Street 2:960 MASSACHUSETTS AVE FLR 2
Mailing Address - City:BSO
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:825 WASHINGTON ST
Practice Address - Street 2:#290 - CARDIOLOGY - NORWOOD
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3441
Practice Address - Country:US
Practice Address - Phone:781-255-0561
Practice Address - Fax:781-255-0681
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151453207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3197204Medicaid
MA3197204Medicaid
G35861Medicare UPIN