Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jared Cheatham, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700463528

Jared Cheatham, MD is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2490
Phone: (718) 920-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1700463528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021
Mailing address111 E 210th St, Bronx, NY 10467-2490

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