Provider Demographics
NPI:1366949984
Name:CHEEMA, HENA SARA (MD)
Entity type:Individual
Prefix:
First Name:HENA
Middle Name:SARA
Last Name:CHEEMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 LONDON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55812-2601
Mailing Address - Country:US
Mailing Address - Phone:317-752-8340
Mailing Address - Fax:
Practice Address - Street 1:2120 LONDON RD STE 200
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55812-2601
Practice Address - Country:US
Practice Address - Phone:317-752-8340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1683682085R0202X
PAMD4712422085R0202X
390200000X
MN780702085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program