Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 0101271353 | VA |
N | 207RI0011X | Interventional Cardiology | 24043 | MS |
NPI | 1124209663 |
---|---|
Provider Name | Yaser Cheema |
First Address | Leesburg, VA 20176-8503 |
Second Address | Germantown, TN 38138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2007 |
Last Update Date | 18/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
186595001 | (05) | AR |
45957 | TN LICENSE (01) |