Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 4301100936 | MI |
N | 207R00000X | Internist | 4301100936 | MI |
N | 111NI0900X | Internist | 4301100936 | MI |
Y | 207RA0201X | Internist - Allergy & Immunology | 4301100936 | MI |
NPI | 1730443748 |
---|---|
Provider Name | Miss Gagandeep Cheema |
First Address | Rochester Hills, MI 48307 |
Second Address | Detroit, MI 48202-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2012 |
Last Update Date | 09/05/2018 |